Active NPI
Scott W Prescher, MD
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1831269612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15512
- Practice address
- 1301 No 72 St
Omaha, NE 68114-1903 - Phone
- (402) 504-4663
- Fax
- (402) 504-4668
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15512 | NE | Primary |
Addresses
Primary practice location
1301 No 72 St
Omaha, NE 68114-1903
Mailing address
1301 No 72 St
Omaha, NE 68114-1903
Phone (402) 504-4663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100274 | Other | UHC | |
| 39204012700 | Medicaid | NE | |
| 35694 | Other | NE | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1831269612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 NO 72 ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141903",
"telephone_number": "402-504-4663",
"fax_number": "402-504-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 NO 72 ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141903",
"telephone_number": "402-504-4663",
"fax_number": "402-504-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCHER",
"first_name": "SCOTT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "15512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0100274",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39204012700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35694",
"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 Mar 28, 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.