Active NPI
Carter Owen Abbott, M.D.
- Adult Medicine Physician
- Omaha, NE
National Provider Identifier
1891864930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 22642
- Practice address
- 16909 Lakeside Hills CT Ste 407
Omaha, NE 68130-4661 - Phone
- (402) 614-5556
- Fax
- (888) 892-2149
- NPI assigned
- Nov 6, 2006
- Last updated
- Oct 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 22642 | NE | Primary |
Addresses
Primary practice location
16909 Lakeside Hills CT Ste 407
Omaha, NE 68130-4661
Mailing address
16909 Lakeside Hills CT Ste 407
Omaha, NE 68130-4661
Phone (402) 614-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22642 | NE | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Omaha Maple LLC | Past | Accepting new patients | |
| Alegent Health Memorial Hospital Schuyler | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI Health Clinic
- Family Medicine Physician
- Schuyler, NE
- NPI 1780601781
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1134327687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1891864930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16909 LAKESIDE HILLS CT STE 407",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304661",
"telephone_number": "402-614-5556",
"fax_number": "888-892-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16909 LAKESIDE HILLS CT STE 407",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304661",
"telephone_number": "402-614-5556",
"fax_number": "888-892-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "CARTER",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NE",
"license": "22642",
"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 Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.