DR. KATIE MARIE SAGRERO (NPI# 1225294598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225294598 |
| Entity Type | Individual |
| Full Name | DR. KATIE MARIE SAGRERO |
| Credential | DO |
| Practice Address |
4920 S 30th St Ste 103 Omaha NE 68107-1656 |
| Practice Telephone | 4025028846 |
| Mailing Telephone | 4025028846 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 840 | NE | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | INTERN - NO LICE | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4920 S 30TH ST STE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832016 | Adriana Maria Bustamante-conway | Counselor | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2007-05-21 |
| 1003427246 | Angela Salazar | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-08-12 |
| 1730798844 | Maria Cristina Ramirez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-24 |
| 1558979682 | Maya A Manjarrez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-15 |
| 1598383093 | Maria Natalia Acosta Canchila | Counselor | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-10 |
| 1992320584 | Jessica P Johnson | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-06-10 |
| 1447887096 | Benjamin J Moore | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-03-24 |
| 1497389415 | Tania Arreguin | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-02-28 |
| 1457982134 | Rosa Najera | Social Worker | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-01-30 |
| 1154951895 | Cody Jacob Thorson | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1659938777 | Hannah Luksa | Family Medicine | 983075 Nebraska Medical Center Omaha Ne 68198-3075, Omaha, NE 68198-3075 | 2019-05-23 |
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1710458237 | Quality Living Inc | Family Medicine | 6320 N 70th Plz, Omaha, NE 68104-1072 | 2018-12-10 |
| 1851871735 | Cornerstone Nonprofit Healthcare | Family Medicine | 1313 N 48th Ave, Omaha, NE 68132-1612 | 2018-08-20 |
| 1306368691 | Mitchell Kohl | Family Medicine | 16104 Sprague St, Omaha, NE 68116-2895 | 2017-07-09 |
| 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.