Active NPI
Janet S Pieck, MD
- Radiation Oncology Physician
- Fremont, NE
National Provider Identifier
1760482723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 16518
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-2303 - Phone
- (402) 727-3586
- Fax
- (402) 727-3618
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 16518 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-2303
Mailing address
PO Box 485
Boys Town, NE 68010-0485
Phone (402) 727-3580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-0249668-00 | Medicaid | NE | |
| 03322 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16518 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartlands Radiation Therapy PC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Fremont, NE
- NPI 1558303164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1760482723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680100485",
"telephone_number": "402-727-3580",
"fax_number": "402-727-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252303",
"telephone_number": "402-727-3586",
"fax_number": "402-727-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECK",
"first_name": "JANET",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NE",
"license": "16518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-0249668-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03322",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.