Active NPI
John Joseph Vann, M.D.
- Pediatrics Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19479
- Practice address
- 19102 Q St
Suite 102
Omaha, NE 68135-1558 - Phone
- (402) 330-5690
- Fax
- (402) 330-5689
- NPI assigned
- Nov 7, 2006
- Last updated
- Aug 24, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19479 | NE | Primary |
Addresses
Primary practice location
19102 Q St
Suite 102
Omaha, NE 68135-1558
Mailing address
19102 Q St Ste 102
Omaha, NE 68135-1558
Phone (402) 330-5690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Nebraska College of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19479 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc. | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| Omaha Childrens Cinic P.C. | Pediatrics | Past | Accepting new patients |
| Whitcomb Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Locations
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
97 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-3722
97 Sherman Dr
#1
St Johnsbury, VT 05819
Phone (802) 748-5131
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1851496947
-
dba NVRH Podiatry Clinic
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
dba NVRH St. Johnsbury Pediatrics
- Primary Care Clinic/Center
- St Johnsbury, VT
- NPI 1487732301
-
- Pediatrics Physician
- Omaha, NE
- NPI 1952709743
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326080268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1922177690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19102 Q ST STE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351558",
"telephone_number": "402-330-5690",
"fax_number": "402-330-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19102 Q ST",
"address_2": "SUITE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351558",
"telephone_number": "402-330-5690",
"fax_number": "402-330-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "19479",
"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 Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.