Nebraska Medical Mart II Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEBRASKA MEDICAL MART II INC

Doing business as

Nebraska Medical Mart

Practice address

1451 N Bell St
Fremont, NE 68025-3534

Phone

(402) 727-4270

Fax

(402) 727-7682

NPI assigned

Oct 31, 2006

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason McDermott

Title

President

Phone

(402) 727-4270

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Nebraska Medical Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nebraska Medical Mart II Inc

  dba Nebraska Medical Mart

  • Durable Medical Equipment & Medical Supplies
  • York, NE
  • NPI 1376885921

  9638295280

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

4Ebraska Medical Mart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nebraska Medical Mart II Inc

  dba Nebraska Medical Mart

  • Durable Medical Equipment & Medical Supplies
  • York, NE
  • NPI 1376885921
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nebraska Medical Mart II Inc

  dba Nebraska Medical Mart

  • Durable Medical Equipment & Medical Supplies
  • York, NE
  • NPI 1376885921
  NPPES parent name

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1841376076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 N BELL ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253534",
            "telephone_number": "402-727-4270",
            "fax_number": "402-727-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 N BELL ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253534",
            "telephone_number": "402-727-4270",
            "fax_number": "402-727-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA MEDICAL MART II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-727-4270"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026071900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08826",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071108200",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "8200149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Medical Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Murray, M.D.
• Laci Namken, AUD
• Nan Cunningham, LMHP
• Nancy Cunningham
• Sarah Renee Neal
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• Alyssa Lane Nelson
• Gwinette Nelson
• Kara Nelson

• Durable Medical Equipment & Medical Supplies in Fremont, NE
• Providers in Fremont, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.

Verify at the official NPI Registry.