Individual provider Active NPI

Thomas J White, MD

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1891712410
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19736 Issued in NE
Practice address
8111 Dodge St Ste 220
Omaha, NE 68114-4117
Phone
(402) 354-1320
Fax
(402) 354-5965
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19736 NE Primary

Addresses

Primary practice location

8111 Dodge St Ste 220
Omaha, NE 68114-4117

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 4

IdentifierTypeStateIssuer
47084296200MedicaidNE
1891712410MedicaidIA
10025724800MedicaidNE
47068731707MedicaidNE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100225000791 NE Practitioner - General SurgeryPractitioner - Orthopedic Surgery 8729056502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Orthopedic Surgery
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Spine Center, LLPGroup PAC ID 9830080613, 35 clinicians
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-5517

8111 Dodge St
Suite 263
Omaha, NE 68114-4118
Phone (402) 354-8163

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129
  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion54
Colonoscopy1-10
Hernia repair (minimally invasive)23
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Surgery CurrentSince Feb 28, 2019 Accepting new patients
Nebraska Spine Center, LLP CurrentSince Aug 1, 1998 Accepting new patients
Nebraska Methodist Hospital Past Accepting new patients
Physicians Clinic, Inc. PastSince Feb 28, 2019 Accepting new patients
Boone County Hospital Past Accepting new patients
Watz Surgical Group LLC Surgery Past Accepting new patients

Locations

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

717 N 190th Plz
Ste 2000
Elkhorn, NE 68022
Phone (402) 354-3090

717 N 190th Plz
Ste 2200
Elkhorn, NE 68022
Phone (402) 354-1700

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

8111 Dodge St
Ste 263
Omaha, NE 68114
Phone (402) 354-8163

8111 Dodge St
Ste 220
Omaha, NE 68114
Phone (402) 354-1320

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1891712410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST STE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144117",
            "telephone_number": "402-354-1320",
            "fax_number": "402-354-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "19736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084296200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891712410",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025724800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731707",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.