Omaha Nephrology Pc in Omaha - Nephrology
Omaha Nephrology Pc - NPI 1053407064
Omaha Nephrology Pc is a Nephrology in Omaha, Nebraska. Omaha Nephrology Pc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Omaha Nephrology Pc is 1053407064. The last update date is 2019-04-10.
Omaha Nephrology Pc's current location address is 1111 N 102nd Ct Ste 200, Omaha, Nebraska. You can contact this provider via phone number 4025022747 and fax number 4025022387. The mailing address for Omaha Nephrology Pc is 1111 N 102nd Ct Ste 200, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Omaha Nephrology Pc |
|---|---|
| Address | 1111 N 102nd Ct Ste 200, Omaha, Nebraska |
| Phone Number | 4025022747 |
| Fax Number | 4025022387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Goldner C David |
| Credentials | MD |
| Telephone Number | 4025022747 |
NPI Number Detail
| NPI Number | 1053407064 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2019-04-10 |
Provider Mailing Address Detail
| Address | 1111 N 102nd Ct Ste 200 |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681142194 |
| Phone Number | 4025022747 |
| Fax Number | 4025022387 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD3083 | NE | RAILROAD MEDICARE | |
| 993865 | IA | -- |
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What is the Omaha Nephrology Pc's unique identification number?
The Omaha Nephrology Pc has been assigned the NPI (National Provider Identifier) Number 1053407064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Omaha Nephrology Pc's physical address?
The Omaha Nephrology Pc is physically located at 1111 N 102Nd Ct Ste 200, in the city of Omaha, NE, with the postal code 681142194.
What is Omaha Nephrology Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Omaha Nephrology Pc's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053407064 to Omaha Nephrology Pc?
The Omaha Nephrology Pc received its 1053407064 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the Omaha Nephrology Pc's information last updated?
The Omaha Nephrology Pc's information was last updated on 2019-04-10.
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