Douglas Alex Deboise, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16816 Issued in NE

Practice address

301 S 70TH St
Suite 200
Lincoln, NE 68510-2469

Phone

(402) 483-7641

Fax

(402) 483-7641

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Heart and Hands Woman Care, LLC

  • Advanced Practice Midwife
  • Lincoln, NE
  • NPI 1598872301

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1851408637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 70TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102469",
            "telephone_number": "402-483-7641",
            "fax_number": "402-483-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 70TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102469",
            "telephone_number": "402-483-7641",
            "fax_number": "402-483-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOISE",
        "first_name": "DOUGLAS",
        "middle_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "16816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082083213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Deboer
• Jason Lee Deboer
• Karen Deboer
• Linda Janette Deboer
• Makenzie Lynn Deboer
• Damon J Debowey
• Ashley Elaine Debrie, RN, BSN
• Jan Debuhr
• Jessica Debuhr, CSS
• Shelly Marie Debuhr

• Obstetrics & Gynecology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.