JILLYN A. KRATOCHVIL (NPI# 1134220429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134220429 |
| Entity Type | Individual |
| Full Name | JILLYN A. KRATOCHVIL |
| Credential | M.D. |
| Practice Address |
119 N 51st St Omaha NE 68132-2867 |
| Mailing Address |
2500 California Plz Omaha NE 68178-0001 |
| Practice Telephone | 4024495959 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19402 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
119 N 51ST ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68132-2867 |
| 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 |
| 1073619458 | Carolyn Meekyung Manhart | Internal Medicine | 119 N 51st St, Omaha, NE 68132 | 2006-09-15 |
| 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 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| 1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
| 1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
| 1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
| 1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
| 1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
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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.