NPIMap

Organization Active NPI

Soteria Family Clinic

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1831278993
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21436 Issued in NE
Legal business name
SOTERIA FAMILY CLINIC
Practice address
1941 S 42ND St
Suite 434
Omaha, NE 68105-2939
Phone
(402) 505-6900
Fax
(402) 991-5419
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Olatokunbo Olufunmike Awodele, MDNPI 1336139617
Title
Medical Director
Phone
(402) 505-6900

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 21436 NE Primary

Addresses

Primary practice location

1941 S 42ND St
Suite 434
Omaha, NE 68105-2939

Mailing address

PO Box 34729
Omaha, NE 68134-0729
Phone (402) 505-6900

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 434
Omaha, NE 68105
Phone (402) 505-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1831278993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34729",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340729",
            "telephone_number": "402-505-6900",
            "fax_number": "402-991-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST",
            "address_2": "SUITE 434",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052939",
            "telephone_number": "402-505-6900",
            "fax_number": "402-991-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTERIA FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "AWODELE",
        "authorized_official_first_name": "OLATOKUNBO",
        "authorized_official_middle_name": "OLUFUNMIKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-505-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21436",
            "primary": true
        }
    ],
    "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 Oct 3, 2011; 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.