NPPI - ANESTHESIOLOGY (NPI# 1205163623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205163623 |
| Entity Type | Organization |
| Organization Name | NPPI - ANESTHESIOLOGY |
| Other Organization Name | CHILDREN'S SPECIALTY PHYSICIANS-ANESTHESIOLOGY |
| Practice Address |
8200 Dodge Street Omaha NE 68114-4113 |
| Mailing Address |
Po Box 30265 Omaha NE 68103-1365 |
| Practice Telephone | 4029554303 |
| Practice Fax Number | 4029554300 |
| Mailing Telephone | 8004117538 |
| Mailing Fax Number | 8173340235 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | KELLY S WEILER (DIRECTOR MANAGED CARE) |
| Authorized Official Telephone | 4029556826 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | NPPI - ANESTHESIOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | NE | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
NE | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Children's Specialty Physicians-Anesthesiology | Doing Business As Name - Organization |
| Street Address |
8200 DODGE STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959295 | Bonnie Jean Lees | Pediatrics | 8200 Dodge Street, Children's Hospital & Medicare Center, Omaha, NE 68114-4113 | 2005-08-18 |
| 1184145476 | Tyler Sutter | Physician Assistant | 8200 Dodge Street, Omaha, NE 68114-4113 | 2017-06-28 |
| 1174939540 | Salaheddin H. I. Elrokhsi | Pediatrics | 8200 Dodge Street, Pediatric Endocrinology Department, Omaha, NE 68114 | 2014-07-07 |
| 1962815720 | Brooke Jean Loutzenhiser | Nurse Practitioner | 8200 Dodge Street, Omaha, NE 68114 | 2014-06-09 |
| 1740570068 | Courtney Kiser Mclean | Pediatrics | 8200 Dodge Street, Neonatology, Omaha, NE 68114-4113 | 2011-04-08 |
| 1083924708 | Lindsay D Cassidy | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Cts, Omaha, NE 68114-4113 | 2010-10-15 |
| 1902034572 | Susan Kay Penner | Physical Therapist | 8200 Dodge Street, Children's Hospital & Medical Center, Omaha, NE 68114-4113 | 2009-06-23 |
| 1366686552 | Laura E Routh | Physician Assistant | 8200 Dodge Street, Children's Hospital & Medical Center - Neurology, Omaha, NE 68114-4113 | 2009-05-01 |
| 1275777468 | Jennifer B Friend | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2009-05-01 |
| 1922242320 | Paige E Hardy | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184799082 | Cynthia A Ferris | Anesthesiology | Children's Hospital - Anesthesiology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-24 |
| 1255568002 | Jessica Kathleen Goeller | Anesthesiology | 8200 Dodge St, Children's Hosp & Med Center - Anesthesiology, Omaha, NE 68114-4113 | 2009-06-19 |
| 1649476409 | Kathleen Manion Dubrow | Anesthesiology | 8200 Dodge St, Omaha Children's Hospital, Omaha, NE 68114-4113 | 2007-06-26 |
| 1942333125 | Pediatric Anesthesia Department | Anesthesiology | Children's Hospital, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-03-14 |
| 1811040744 | David S Hoy | Anesthesiology | 8200 Dodge St, Children's Hospital-anesthesiology, Omaha, NE 68114-4113 | 2007-01-22 |
| 1003971854 | Kimberly A Hanson | Anesthesiology | Children's Hospital - Anesthesiology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-12-22 |
| 1548338437 | Carol A Lydiatt | Anesthesiology | Children's Hospital - Anesthesiology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-12-01 |
| 1801963210 | Diana L Doyle | Anesthesiology | Children's Hospital - Anesthesiology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-29 |
| 1467418129 | David Alan Tingley | Anesthesiology | 8200 Dodge St, Omaha, NE 68114-4113 | 2006-04-21 |
| 1750380754 | Kerri Jo George | Anesthesiology | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-07-20 |
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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.