Active NPI
Fernando E Correa, M.D., a Professional Corporation
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1891139507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18632
- Legal business name
- FERNANDO E CORREA, M.D., A PROFESSIONAL CORPORATION
- Practice address
- 4828 S 24TH St
Omaha, NE 68107-2703 - Phone
- (402) 731-9100
- Fax
- (402) 731-1297
- NPI assigned
- Apr 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando E Correa, M.D.
- Title
- President
- Phone
- (402) 731-9100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18632 | NE | Primary |
Addresses
Primary practice location
4828 S 24TH St
Omaha, NE 68107-2703
Mailing address
4828 S 24TH St
Omaha, NE 68107-2703
Phone (402) 731-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14436 W Center Rd
Omaha, NE 68144
Phone (402) 408-9555
7500 Mercy Rd
#M
Omaha, NE 68124
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1790765766
-
- Family Medicine Physician
- Omaha, NE
- NPI 1306826375
-
- Physician Assistant
- Omaha, NE
- NPI 1023515327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367884800000",
"number": "1891139507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4828 S 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681072703",
"telephone_number": "402-731-9100",
"fax_number": "402-731-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 S 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681072703",
"telephone_number": "402-731-9100",
"fax_number": "402-731-1297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO E CORREA, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-24",
"last_updated": "2013-05-07",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-731-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NE",
"license": "18632",
"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 May 7, 2013; 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.