Active NPI
Jan J Golnick, MD
- Neurology Physician
- Omaha, NE
National Provider Identifier
1689767642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 14661
- Practice address
- 16945 Frances St
Suite 300
Omaha, NE 68130-2312 - Phone
- (402) 926-4200
- Fax
- (402) 926-4210
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14661 | NE | Primary |
Addresses
Primary practice location
16945 Frances St
Suite 300
Omaha, NE 68130-2312
Mailing address
16945 Frances St
Suite 300
Omaha, NE 68130-2312
Phone (402) 926-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689767642 | Other | NE | MEDICARE NPI |
| 47070432000 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 31, 2015 through Oct 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1689767642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16945 FRANCES ST",
"address_2": "SUITE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302312",
"telephone_number": "402-926-4200",
"fax_number": "402-926-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16945 FRANCES ST",
"address_2": "SUITE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302312",
"telephone_number": "402-926-4200",
"fax_number": "402-926-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLNICK",
"first_name": "JAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "14661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1689767642",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070432000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.