Pediatric Anesthesia Department

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

Legal business name

PEDIATRIC ANESTHESIA DEPARTMENT

Practice address

Children's Hospital
8200 Dodge Street
Omaha, NE 68114-4113

Phone

(402) 955-6928

Fax

(402) 955-6900

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Nancy Barna, MPA, MS, FHFMA

Title

Director - Reimb & Managed Care

Phone

(402) 955-6775

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942333125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC ANESTHESIA DEPARTMENT",
            "address_2": "PO BOX 30015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681031115",
            "telephone_number": "402-955-6928",
            "fax_number": "402-955-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HOSPITAL",
            "address_2": "8200 DODGE STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-6928",
            "fax_number": "402-955-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ANESTHESIA DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR - REIMB & MANAGED CARE",
        "authorized_official_telephone_number": "402-955-6775",
        "authorized_official_credential": "MPA, MS, FHFMA"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025384000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher Arnold Pedersen, BSN
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• Chandler Olivia Marie Pederson
• Jessica Lynn Pedeville, PSY.D.
• Pediatric Cardiology Affiliates
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• Pediatric Anesthesiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Anesthesiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.