Active NPI
Thomas S Pruse, M.D.
- Obstetrics & Gynecology Physician
- Omaha, NE
National Provider Identifier
1912057910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12219
- Practice address
- 1010 N 96TH St Ste 200
Omaha, NE 68114-2499 - Phone
- (402) 343-4328
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12219 | NE | Primary |
Addresses
Primary practice location
1010 N 96TH St Ste 200
Omaha, NE 68114-2499
Mailing address
2808 S 80TH Ave Ste 110
Omaha, NE 68124-3253
Phone (402) 391-3870
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 |
|---|---|---|---|
| 12219 | NE | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- tpruse8491@achce.catholichealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1912057910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 S 80TH AVE STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243253",
"telephone_number": "402-391-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N 96TH ST STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142499",
"telephone_number": "402-343-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSE",
"first_name": "THOMAS",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "12219",
"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 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.