NPIMap

Organization Active NPI

Mid-City OB-GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1861578817
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MID-CITY OB-GYN, P.C.
Practice address
7205 West Center Road
Suite 200
Omaha, NE 68124-2388
Phone
(402) 397-6600
Fax
(402) 397-8318
NPI assigned
Oct 31, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Kent H Siemers, M.D.NPI 1033293246
Title
President
Phone
(402) 397-6600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

7205 West Center Road
Suite 200
Omaha, NE 68124-2388

Mailing address

7205 West Center Road
Suite 200
Omaha, NE 68124-2388
Phone (402) 397-6600

Other identifiers 1

IdentifierTypeStateIssuer
0940734MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613001196 NE Part B Supplier - Clinic/Group Practice 3779527585 Receives reassigned benefits from 26 practitioners
Practice locations: Omaha, NE; Elkhorn, NE

National Provider Directory

National Provider Directory

Locations

717 N 190th Plz
Ste 2100
Elkhorn, NE 68022
Phone (402) 354-5250

515 N 162nd Ave
Ste 102
Omaha, NE 68118
Phone (402) 397-6600

7205 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 397-6600

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1861578817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 WEST CENTER ROAD",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WEST CENTER ROAD",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY OB-GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SIEMERS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940734",
            "state": "IA"
        }
    ],
    "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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.