NPIMap

Organization Active NPI

Family Healthcare of Wahoo, LLC

  • Family Medicine Physician
  • Wahoo, NE
National Provider Identifier
1699877423
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTHCARE OF WAHOO, LLC
Practice address
964 N Laurel St
Wahoo, NE 68066-1527
Phone
(402) 443-4141
Fax
(402) 443-4150
NPI assigned
Sep 2, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Leo Meduna, MD, PCNPI 1386608396
Title
Owner
Phone
(402) 443-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

964 N Laurel St
Wahoo, NE 68066-1527

Mailing address

964 N Laurel St
Wahoo, NE 68066-1527
Phone (402) 443-4141

Other identifiers 1

IdentifierTypeStateIssuer
CK3490OtherNERAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699877423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 N LAUREL ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661527",
            "telephone_number": "402-443-4141",
            "fax_number": "402-443-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 N LAUREL ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661527",
            "telephone_number": "402-443-4141",
            "fax_number": "402-443-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE OF WAHOO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MEDUNA",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-443-4141",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK3490",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.