Omaha Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OMAHA MEDICAL GROUP LLC

Practice address

9015 Arbor St Ste 144
Omaha, NE 68124-2072

Phone

(402) 588-0678

Fax

(402) 588-0678

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Jacqueline O Chanlatte-Garcia, MDNPI 1801819537

Title

President

Phone

(402) 588-0678

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline O Chanlatte-Garcia, MD

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1801819537
  Medicare reassignment NPD Authorized official
• Yvonne M Stephenson, M.D.

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1497849475
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1922438829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 ARBOR ST STE 144",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242072",
            "telephone_number": "402-588-0678",
            "fax_number": "531-772-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 ARBOR ST STE 144",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242072",
            "telephone_number": "402-588-0678",
            "fax_number": "402-588-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "CHANLATTE-GARCIA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-588-0678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omaha Integrated Health P.C.
• Omaha Integrative Care, LLC
• Omaha Integrative Medicine, LLC
• Omaha Internal Medicine, PC
• Omaha Joint & Wellness Care
• Omaha Medical Supplies, LLC
• Omaha Mental Health LLC
• Omaha Metro Care and Rehabilitation Center, LLC
• Omaha Mindful Medicine and Therapy LLC
• Omaha Mobility Specialist

• Internal Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.