CAROLYN MEEKYUNG MANHART (NPI# 1073619458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073619458 |
| Entity Type | Individual |
| Full Name | CAROLYN MEEKYUNG MANHART |
| Credential | M.D. |
| Practice Address |
119 N 51st St Omaha NE 68132 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4024495960 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22848 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 N 51st St, Omaha, NE 681322867 | 4024495960 |
| Street Address |
119 N 51ST ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144206244 | Ann M. Rule | Pharmacist | 119 N 51st St, Suite 101, Omaha, NE 68132-2867 | 2005-12-20 |
| 1427504422 | Anne S. Aiello | Dentist | 119 N 51st St, Omaha, NE 68132-2867 | 2016-08-30 |
| 1588039697 | Physiotherapy Associates Inc | Clinic/Center | 119 N 51st St, Suite 101, Omaha, NE 68132-2867 | 2015-12-01 |
| 1215229109 | Chad D Doerneman | Physical Therapist | 119 N 51st St, Suite 101, Omaha, NE 68132-2867 | 2011-05-10 |
| 1558696575 | Omaha Orthopedic Physical Therapy | Physical Therapist | 119 N 51st St, Suite 101, Omaha, NE 68132-2867 | 2009-10-08 |
| 1336343433 | Joni Pagenkemper | Nutritionist | 119 N 51st St, Omaha, NE 68132-2867 | 2007-06-13 |
| 1972723740 | Anne Aiello | Dentist | 119 N 51st St, Omaha, NE 68132-2867 | 2007-04-26 |
| 1235220120 | Erin A Loucks | Pediatrics | 119 N 51st St, Omaha, NE 68132-2867 | 2006-09-27 |
| 1134220429 | Jillyn A. Kratochvil | Pediatrics | 119 N 51st St, Omaha, NE 68132-2867 | 2006-09-26 |
| 1235240185 | Michael J Moore | Pediatrics | 119 N 51st St, Omaha, NE 68132-2867 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588067227 | Yusuke Namba | Student in an Organized Health Care Education/Training Program | 7070 Capitol Court Apt 872, Omaha, NE 68132 | 2014-10-08 |
| 1811262314 | Jessica Ann Stallings | Counselor | 621 N 51st St, Omaha, NE 68132 | 2012-03-15 |
| 1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1366774416 | Emergency Physicians of Eastern Nebraska, PC | Emergency Medicine | 2500 Bellevue Center Drive, Emergency Department, Bellevue, NE 68132 | 2010-01-31 |
| 1871726125 | Micaila M Ruiz | Pharmacist | 820 N Saddle Creek Road, Omaha, NE 68132 | 2009-09-02 |
| 1790929412 | Andrew Ryan Thompson | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132 | 2009-04-24 |
| 1508084450 | Adoption Links Worldwide | Counselor | 5017 Leavenworth St., Ste 1, Omaha, NE 68132 | 2007-04-23 |
| 1164596391 | John F Parra | Dentist | 5006 Dodge St, Omaha, NE 68132 | 2006-11-20 |
| 1750860219 | Geri Mcvey | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132 | 2018-08-07 |
| Find all providers in zip 68132 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.