Active NPI
Doctors for Senior Health PC
- Internal Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DOCTORS FOR SENIOR HEALTH PC
- Practice address
- 18011 Oak Street
Unit 18011a
Omaha, NE 68130 - Phone
- (402) 502-9454
- Fax
- (402) 505-8209
- NPI assigned
- Jul 31, 2006
- Last updated
- Nov 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David G Sharp
- Title
- President
- Phone
- (402) 758-5800
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
18011 Oak Street
Unit 18011a
Omaha, NE 68130
Mailing address
18011 Oak St Ste a
Omaha, NE 68130-6057
Phone (402) 435-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025412100 | Medicaid | NE | |
| DF0233 | Other | NE | MEDICARE RAILROAD |
| 30696 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2020698 | Doctors for Senior Health PC | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
3270 Folkways Blvd
Ste 101
Lincoln, NE 68504
18011 Oak St
Ste 18011A
Omaha, NE 68130
Phone (402) 502-9454
18011 Oak St
Ste A
Omaha, NE 68130
Phone (402) 502-9454
18011 Oak St
Unit 18011A
Omaha, NE 68130
Phone (402) 502-9454
6809 N 68th Plz
Omaha, NE 68152
Phone (402) 572-2134
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3d9dbe31-b367-4223-9466-3a189a9f7ec9/
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Nurse Practitioner
- Omaha, NE
- NPI 1730648759
-
- Family Nurse Practitioner
- Bellevue, NE
- NPI 1821508219
-
- Occupational Therapist
- Omaha, NE
- NPI 1740489384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1821003294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18011 OAK ST STE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306057",
"telephone_number": "402-435-1400",
"fax_number": "402-435-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18011 OAK STREET",
"address_2": "UNIT 18011A",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "402-502-9454",
"fax_number": "402-505-8209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS FOR SENIOR HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "SHARP",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-758-5800"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025412100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DF0233",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30696",
"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 Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.