CREIGHTON UNIVERSITY MEDICAL CENTER (NPI# 1164670196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164670196 |
| Entity Type | Organization |
| Organization Name | CREIGHTON UNIVERSITY MEDICAL CENTER |
| Other Organization Name | TWIN CREEKS PHYSICAL THERAPY |
| Practice Address |
3802 Raynor Pkwy Ste 201 Bellevue NE 68123-2528 |
| Practice Telephone | 4024495800 |
| Mailing Telephone | 4024495800 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | MS. BRIDGET R PLUMB (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4024495800 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | Y |
| Parent Organization Name | CUMC PHYSICAL THERAPY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2670 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Twin Creeks Physical Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346466745 | Creighton University Medical Center | Clinic/Center | 601 N 30th St Ste 3m-100, Omaha, NE 68131-2137 | 2007-04-17 |
| 1457489619 | Creighton University Medical Center | Clinic/Center | 3802 Raynor Pkwy, Suite 201, Bellevue, NE 68123-6048 | 2007-03-01 |
| Street Address |
3802 RAYNOR PKWY STE 201 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528963 | Dimensions Aba, LLC | Clinic/Center | 1808 Richards Rd Ste 102, Bellevue, WA 98005-3982 | 2019-09-30 |
| 1376947747 | Align Bodyworks Pllc | Clinic/Center | 16040 Northup Way, Bellevue, WA 98008-2541 | 2014-10-14 |
| 1861895104 | Rediclinic of Wa, LLC | Clinic/Center | 15100 S.e. 38th Street, Bellevue, WA 98006-1763 | 2014-10-01 |
| 1700100344 | Integrated Rehabilitation Group PC | Clinic/Center | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2010-03-25 |
| 1609064245 | Golden Hand Massage | Clinic/Center | 10617 Ne 2nd St, Bellevue, WA 98004-5727 | 2007-10-09 |
| 1205455060 | Formosa Acupuncture & Herbs Corporation | Clinic/Center | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1598255903 | Sports and Spine | Clinic/Center | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2018-05-11 |
| 1023506714 | Hotel California By The Sea Bellevue, LLC. | Clinic/Center | 1601 114th Ave Se Ste 180, Bellevue, WA 98004-6955 | 2018-04-27 |
| 1710414594 | Tree of Life Acupuncture | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-11 |
| 1093241127 | Abundant Spring | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-10 |
| Find all providers in BELLEVUE | ||||
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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.