Omaha Ear Nose & Throat Clinic PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

OMAHA EAR NOSE & THROAT CLINIC PC

Practice address

17410 Burke St Ste 200
Omaha, NE 68118-2250

Phone

(402) 758-5330

Fax

(402) 758-5339

NPI assigned

Jun 10, 2008

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Andersen

Title

Administrator

Phone

(402) 758-5330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Melanie Dresden, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1720501315
  Medicare reassignment Care Compare group NPD
• Ann Edmunds, MD

  • Pediatric Otolaryngology Physician
  • Omaha, NE
  • NPI 1417995192
  Medicare reassignment Care Compare group NPD
• Kristin M Fernau, AU. D

  • Audiologist
  • Omaha, NE
  • NPI 1700309788
  Medicare reassignment Care Compare group NPD
• Noel C Griffith, AUD

  • Audiologist
  • Omaha, NE
  • NPI 1316094691
  Medicare reassignment NPD
• Catherine A Vail

  • Primary Care Nurse Practitioner
  • Omaha, NE
  • NPI 1194100867
  Medicare reassignment NPD
• John W Pflug, M.D.

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1205826989
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1922268341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17410 BURKE ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182250",
            "telephone_number": "402-758-5330",
            "fax_number": "402-758-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 BURKE ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182250",
            "telephone_number": "402-758-5330",
            "fax_number": "402-758-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA EAR NOSE & THROAT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-758-5330"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.