NPIMap

Organization Active NPI

Great Plains Internal Medicine PC Mne

  • Internal Medicine Physician
  • Bellevue, NE
National Provider Identifier
1851336374
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20728 Issued in NE
Legal business name
GREAT PLAINS INTERNAL MEDICINE PC MNE
Practice address
10135 S 25TH St
Bellevue, NE 68123-1017
Phone
(402) 292-3987
Fax
(402) 292-4034
NPI assigned
Jun 18, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Roy W Holeyfield, MD
Title
President
Phone
(402) 242-3987

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 110102 NE
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 15518 NE
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20728 NE Primary

Addresses

Primary practice location

10135 S 25TH St
Bellevue, NE 68123-1017

Mailing address

10135 S 25TH St
Bellevue, NE 68123-1017
Phone (402) 292-3987

National Provider Directory

National Provider Directory

Locations

10135 S 25th St
Bellevue, NE 68123
Phone (402) 292-3987

10135 S 25th St
Ste C
Bellevue, NE 68123
Phone (402) 292-3987

Practitioners & affiliated clinicians

Practitioners 3

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1851336374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 S 25TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231017",
            "telephone_number": "402-292-3987",
            "fax_number": "402-292-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 S 25TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231017",
            "telephone_number": "402-292-3987",
            "fax_number": "402-292-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS INTERNAL MEDICINE PC MNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLEYFIELD",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-242-3987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "110102",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "15518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "20728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.