MARK E OBERLIES (NPI# 1194883298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194883298 |
| Entity Type | Individual |
| Full Name | MARK E OBERLIES |
| Credential | MD |
| Practice Address |
16909 Lakeside Hills Ct Ste 111 Omaha NE 68130 |
| Mailing Address |
16909 Lakeside Hills Ct Ste 111 Omaha NE 68130-4661 |
| Practice Telephone | 4028109700 |
| Practice Fax Number | 4028581281 |
| Mailing Telephone | 4028109700 |
| Mailing Fax Number | 4028581281 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21729 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DEA | B07253610 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17030 Lakeside Hills Plz, Suite 102, Omaha, NE 68130 | 4027585800 | 4027585809 |
| Street Address |
16909 LAKESIDE HILLS CT STE 111 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198519 | Mark E Oberlies Md PC | Internal Medicine | 16909 Lakeside Hills Ct Ste 111, Omaha, NE 68130-4661 | 2018-09-20 |
| 1649487810 | Lifestyles Inc | Prosthetic/Orthotic Supplier | 16909 Lakeside Hills Ct Ste 111, Omaha, NE 68130-4661 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
| Find all providers in OMAHA | ||||
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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.