WILLIAM WALTER JURGENSEN (NPI# 1205894987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205894987 |
Entity Type | Individual |
Full Name | WILLIAM WALTER JURGENSEN |
Credential | MD |
Practice Address |
8901 W Dodge Rd Ste 200b Omaha NE 68114-3321 |
Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
Practice Telephone | 4023541700 |
Practice Fax Number | 4023542155 |
Mailing Telephone | 4023542100 |
Mailing Fax Number | 4023542155 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2018-12-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 16385 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1205894987 | 05 | |
NE | 10026480100 | 05 | |
NE | 47068731799 | 05 | |
NE | 10026301600 | 05 |
Street Address |
8901 W DODGE RD STE 200B |
City | OMAHA |
State | NE |
Zip Code | 68114-3321 |
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 | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
1629639562 | Anna Adamson | Obstetrics & Gynecology | 983255 Nebraska Medica Center, Omaha, NE 68198-3255 | 2019-06-21 |
1265956908 | Dominique Boudreau Boadwine | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2017-08-02 |
1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
1205276326 | Lauren Ashley Anderson | Obstetrics & Gynecology | 16909 Lakeside Hills Ct Ste 401, Omaha, NE 68130-4661 | 2013-07-03 |
1952660573 | Gina M Torpin | Obstetrics & Gynecology | 983255 Nebraska Medical Center, Omaha, NE 68198-3255 | 2012-05-16 |
1033483011 | Kirsch Medical Aesthetic Associates | Obstetrics & Gynecology | 11623 Arbor St Ste 101, Omaha, NE 68144-2996 | 2012-03-08 |
1699084350 | Sarah Rachelle Lundin | Obstetrics & Gynecology | 2420 S 113th St, Omaha, NE 68144-3028 | 2010-09-29 |
1437311099 | Karen Sue Carlson | Obstetrics & Gynecology | Nebraska Medical Center Dept of Ob Gyn, 983255 Nebraska Medical Center, Omaha, NE 68198-0001 | 2008-06-25 |
1447461645 | Kristina Ann Pakiz | Obstetrics & Gynecology | 6901 Mercy Road, Omaha, NE 68106 | 2007-05-27 |
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.