Ear Nose & Throat - Head and Neck Surgery P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

18235 Issued in NE

Legal business name

EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C.

Practice address

11704 W Center Rd
Suite 211
Omaha, NE 68144-4375

Phone

(402) 393-7050

Fax

(402) 393-2814

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas James Dobleman, M.D.

Title

President

Phone

(402) 393-7050

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: thomasdobleman@enthnsp.allscriptsdirect.net
• Direct secure messaging: douglaslarsen@enthnsp.allscriptsdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean M Koliha, APRN

  • Pediatric Nurse Practitioner
  • Omaha, NE
  • NPI 1891850400
  Medicare reassignment NPD
• Edgar A. Lueg, MD

  • Otolaryngology Physician
  • Ventura, CA
  • NPI 1831260884
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1699868596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "address_2": "SUITE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-393-7050",
            "fax_number": "402-393-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "address_2": "SUITE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-393-7050",
            "fax_number": "402-393-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "DOBLEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-393-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "18235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD IA",
            "identifier": "97053",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0957373",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD NE",
            "identifier": "02621",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Eakins, M.D.
• Jordan Karl Ealey, DPT
• Alianna Ealy
• Ann Ealy, LMT
• Kelly Denise Ealy, MPT
• Ear Nose and Throat Consultants LLC
• Ear, Nose and Throat Associates P.C.
• Teagan Earhart, CCC-SLP
• Earl H. Brown III
• Shaneece Earle

• Otolaryngology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.