Organization Active NPI

Pulmonary Medicine Institute PC

  • Pulmonary Disease Physician
  • Omaha, NE
National Provider Identifier
1992730477
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY MEDICINE INSTITUTE PC
Practice address
4242 Farnam St
#470
Omaha, NE 68131-2806
Phone
(402) 552-9875
Fax
(402) 552-9876
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Richard S Yates, M.D.
Title
M.D./President
Phone
(402) 552-9875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X

Addresses

Primary practice location

4242 Farnam St
#470
Omaha, NE 68131-2806

Mailing address

4242 Farnam St
#470
Omaha, NE 68131-2806
Phone (402) 552-9875

Other identifiers 2

IdentifierTypeStateIssuer
10025277000MedicaidNE
DD7042OtherNERR MEDICARE

National Provider Directory

National Provider Directory

Locations

4242 Farnam St
Ste 470
Omaha, NE 68131
Phone (402) 552-9875

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1992730477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "#470",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-9875",
            "fax_number": "402-552-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "#470",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-9875",
            "fax_number": "402-552-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "402-552-9875",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025277000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD7042",
            "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 3, 2008; 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.