West Omaha Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WEST OMAHA DERMATOLOGY, LLC

Doing business as

West Omaha Dermatology

Practice address

11717 Bryan Street
Unit 105
Gretna, NE 68028

Phone

(402) 281-9080

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 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

Laura-Catherine Vargo, MDNPI 1861805152

Title

Owner

Phone

(402) 281-9080

Specialties & licenses 1

Addresses

Other names 1

• West Omaha Dermatology Doing business as

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 3

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.

• Laura-Catherine Vargo, MD

  • Dermatology Physician
  • Gretna, NE
  • NPI 1861805152
  Medicare reassignment Care Compare group NPD Authorized official
• James D Vargo, MD

  • Plastic and Reconstructive Surgery Physician
  • Omaha, NE
  • NPI 1780002659
  Medicare reassignment Care Compare group NPD
• Cassandra Ann Deangelis

  • Pharmacist
  • Omaha, NE
  • NPI 1669810198
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1932889920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 S 231ST ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284985",
            "telephone_number": "402-281-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BRYAN STREET",
            "address_2": "UNIT 105",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "68028",
            "telephone_number": "402-281-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OMAHA DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "LAURA-CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-281-9080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Omaha Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walmart Inc. (WalMart Pharmacy 10-4600)
• Sabrina Ward, OT
• Hannah Weddle
• William D Weeks, MD
• Tosha Nichole Werkmeister, MS, CCC-SLP
• Hope Erin Whitney, PT, DPT
• Whole Self Counseling LLC
• Pamela Wilcox
• Ayla Wilhite, PLMHP, PCSW
• Deborah Sue Wille, LMHP

• Dermatology Physician in Gretna, NE
• Providers in Gretna, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.