BRYAN SCOTT TERUYA (NPI# 1073712204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073712204 |
| Entity Type | Individual |
| Full Name | BRYAN SCOTT TERUYA |
| Credential | M.D. |
| Practice Address |
4101 Woolworth Ave Department of Pathology Omaha NE 68105-1850 |
| Mailing Address |
601 N 30th St Ste 2400 Omaha NE 68131-2128 |
| Practice Telephone | 4029953218 |
| Mailing Telephone | 4029953218 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
29363 | NE | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
A121270 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
036127105 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4101 WOOLWORTH AVE DEPARTMENT OF PATHOLOGY |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
| 1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
| 1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
| 1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093825929 | Deborah A Perry | Pathology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362326 | Michael James Duggan | Pathology | 5440 South Street, Suite 200, Lincoln, NE 68506 | 2006-10-20 |
| 1598847162 | Darrell Reaks Lester Jr. | Pathology | 5440 South Street, Suite 200, Lincoln, NE 68506 | 2006-10-20 |
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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.