POPP COSMETIC SURGERY PC (NPI# 1093979163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093979163 |
| Entity Type | Organization |
| Organization Name | POPP COSMETIC SURGERY PC |
| Practice Address |
11919 Grant St Suite 100 Omaha NE 68164-3475 |
| Practice Telephone | 4023914558 |
| Practice Fax Number | 4023917401 |
| Mailing Telephone | 4023914558 |
| Mailing Fax Number | 4023917401 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | DR. JEFFREY COLLINS POPP (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4023914558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
15046 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | 180011030 | 01 |
| NE | MIDLANDS CHOICE | F235478 | 01 |
| NE | BLUECROSS BLUESHIELD | 03330 | 01 |
| NE | UNITED HEALTHCARE | 13-00055 | 01 |
| NE | MIDLANDS CHOICE | 497 | 01 |
| NE | BLUECROSS BLUESHIELD | 01644 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984665 | Popp Cosmetic Surgery PC | Clinic/Center | 11919 Grant St, Ste 100, Omaha, NE 68164-3475 | 2006-03-02 |
| Street Address |
11919 GRANT ST SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417924051 | Jeffrey Collins Popp | Surgery | 11919 Grant St, Suite 100, Omaha, NE 68164-3475 | 2006-03-02 |
| 1902256936 | Jh Counseling, LLC | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2016-06-21 |
| 1598039778 | Window To The Soul Counseling, Inc. | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2012-03-06 |
| 1891062527 | Jayne Stickman | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2011-11-23 |
| 1548563836 | Crystal Anzalone | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2010-12-08 |
| 1780999102 | Renee L Johnson | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2010-08-10 |
| 1598998940 | R. W. Roubal, D.d.s., P.C. | Clinic/Center | 11919 Grant St, Suite 140, Omaha, NE 68164-3475 | 2009-09-02 |
| 1053564351 | Jeffrey J Harvey | Counselor | 11919 Grant St, Suite 201, Omaha, NE 68164-3475 | 2008-10-30 |
| 1528146792 | Michael Christopher Danahay | Dentist | 11919 Grant St, Suite 140, Omaha, NE 68164-3475 | 2006-11-02 |
| 1215014998 | Roger William Roubal | Dentist | 11919 Grant St, Suite 140, Omaha, NE 68164-3475 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871548511 | Rita Coleen Stice | Surgery | 17030 Lakeside Hills Plaza, # 214, Omaha, NE 68130 | 2006-05-23 |
| 1417924051 | Jeffrey Collins Popp | Surgery | 11919 Grant St, Suite 100, Omaha, NE 68164-3475 | 2006-03-02 |
| 1871932731 | Amanda Josephine Dawson | Surgery | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2013-06-24 |
| 1306045968 | Metropolitan Plastic & Reconstructive Surgery, PC | Surgery | 17030 Lakeside Hills Plz, Suite 214, Omaha, NE 68130-2396 | 2007-07-13 |
| 1639228877 | Nagi T Ayoub | Surgery | 9900 Nicholas St, Suite 300, Omaha, NE 68114-2249 | 2007-01-09 |
| 1992854137 | Joel Bleicher | Surgery | 1010 N 96th St Ste 200, Omaha, NE 68114-2499 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306315106 | Columbus Community Hospital Inc | Surgery | 4508 38th St Ste 165, Columbus, NE 68601-1668 | 2018-11-21 |
| 1902904576 | Joel Robert Atchison | Surgery | 3712 28th Avenue, Kearney, NE 68845 | 2006-09-20 |
| 1508858432 | Cassidy D Mitchell | Surgery | 2222 S 16th St, Suite 430, Lincoln, NE 68502-3796 | 2005-08-17 |
Please comment or provide details below to improve the information on POPP COSMETIC SURGERY PC.
| 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.