NPIMap

Organization Active NPI

Stephen J. Kruszka D.O., P.C.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1952517062
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
372 Issued in NE
Legal business name
STEPHEN J. KRUSZKA D.O., P.C.
Practice address
7710 Mercy Rd
Suite 201
Omaha, NE 68124-2346
Phone
(402) 391-5022
Fax
(402) 496-3561
NPI assigned
May 15, 2007
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Stephen Joseph Kruszka, D.O.NPI 1568416428
Title
President
Phone
(402) 391-5022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 372 NE Primary

Addresses

Primary practice location

7710 Mercy Rd
Suite 201
Omaha, NE 68124-2346

Mailing address

PO Box 241963
Omaha, NE 68124-6963
Phone (402) 391-5022

Other identifiers 1

IdentifierTypeStateIssuer
36394653201MedicaidNE

National Provider Directory

National Provider Directory

Locations

7710 Mercy Rd
Ste 128
Omaha, NE 68124
Phone (402) 391-5022

7710 Mercy Rd
Ste 201
Omaha, NE 68124
Phone (402) 391-5022

7710 Mercy Rd
Ste 428
Omaha, NE 68124
Phone (402) 392-1404

8420 W Dodge Rd
#111
Omaha, NE 68114
Phone (402) 391-5022

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1952517062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241963",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681246963",
            "telephone_number": "402-391-5022",
            "fax_number": "402-496-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD",
            "address_2": "SUITE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242346",
            "telephone_number": "402-391-5022",
            "fax_number": "402-496-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. KRUSZKA D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "KRUSZKA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36394653201",
            "state": "NE"
        }
    ],
    "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 Jan 13, 2012; 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.