Organization Active NPI

Kay E Ticen MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1801076559
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12608 Issued in NE
Legal business name
KAY E TICEN MD
Practice address
6818 Grover St Ste 201
Omaha, NE 68106-3632
Phone
(402) 392-1278
Fax
(402) 392-1291
NPI assigned
Nov 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Janet Ann Delp
Title
Business Manager
Phone
(402) 392-1278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 12608 NE Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 12608 NE

Addresses

Primary practice location

6818 Grover St Ste 201
Omaha, NE 68106-3632

Mailing address

6818 Grover St Ste 201
Omaha, NE 68106-3632
Phone (402) 392-1278

National Provider Directory

National Provider Directory

Locations

6818 Grover St
Ste 201
Omaha, NE 68106
Phone (402) 390-2492

Practitioners & affiliated clinicians

Practitioners 1

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": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1801076559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063632",
            "telephone_number": "402-392-1278",
            "fax_number": "402-392-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063632",
            "telephone_number": "402-392-1278",
            "fax_number": "402-392-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY E TICEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DELP",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "402-392-1278"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "12608",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NE",
            "license": "12608",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 17, 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.