DR. JENNIFER A LEINICKE (NPI# 1093905572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093905572 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A LEINICKE |
| Credential | MD |
| Practice Address |
4014 Leavenworth St Omaha NE 68105-1053 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025594017 |
| Practice Fax Number | 4025596749 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 57027762 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2009010829 | MO | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 29987 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4014 LEAVENWORTH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316995665 | Edward Vincent Fehringer | Orthopaedic Surgery | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2006-05-05 |
| 1518582261 | Laura A Cox | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2020-06-09 |
| 1235794702 | Nicole K Bowdino | Otolaryngology | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2019-05-09 |
| 1639654759 | Mikaela A Bounds | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-09-25 |
| 1467948646 | Jennifer Ann Zielinski | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-07-10 |
| 1407347784 | Margaret Baumann | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-05-23 |
| 1457868358 | Elizabeth A Hegge | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-01-02 |
| 1073031233 | Mary Louise Jorgenson | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2017-09-07 |
| 1609302025 | Emily Bosen | Audiologist | 4014 Leavenworth St, Omaha, NE 68105-0006 | 2017-05-04 |
| 1427597053 | Nicole Koricic | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2017-02-15 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981635 | Jeffrey Ratter | Colon & Rectal Surgery | 9850 Nicholas St # 150, Omaha, NE 68114-2186 | 2020-10-29 |
| 1427094648 | Jennifer Sam Beaty | Colon & Rectal Surgery | 9850 Nicholas St Ste 100, Omaha, NE 68114-2191 | 2006-06-22 |
| 1629076302 | Colon and Rectal Surgery Inc | Colon & Rectal Surgery | 985 Nicholas Street, Suite 100, Omaha, NE 68114 | 2005-07-07 |
| 1841289147 | Charles Andrew Ternent | Colon & Rectal Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2191 | 2005-10-19 |
| 1588664239 | Maniamparampil Shashidharan | Colon & Rectal Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2186 | 2005-07-22 |
| 1790783454 | Garnet Jean Blatchford | Colon & Rectal Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2186 | 2005-07-07 |
| 1033117700 | Alan Glen Thorson | Colon & Rectal Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2186 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447434287 | Surgical Associates | Colon & Rectal Surgery | 1301 E H St, Mc Cook, NE 69001-3482 | 2007-12-27 |
| 1205860871 | Richard M Pitsch Jr. | Colon & Rectal Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| 1780618272 | Michael A Jobst | Colon & Rectal Surgery | 1001 S 70th St Ste 100, Lincoln, NE 68510 | 2006-07-10 |
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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.