NICOLE K BOWDINO (NPI# 1235794702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235794702 |
| Entity Type | Individual |
| Full Name | NICOLE K BOWDINO |
| Credential | PA-C |
| Practice Address |
4014 Leavenworth St Omaha NE 68105-1053 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025595208 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2358 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4014 LEAVENWORTH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316995665 | Edward Vincent Fehringer | Orthopaedic Surgery | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2006-05-05 |
| 1518582261 | Laura A Cox | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2020-06-09 |
| 1639654759 | Mikaela A Bounds | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-09-25 |
| 1467948646 | Jennifer Ann Zielinski | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-07-10 |
| 1407347784 | Margaret Baumann | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-05-23 |
| 1457868358 | Elizabeth A Hegge | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2018-01-02 |
| 1073031233 | Mary Louise Jorgenson | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2017-09-07 |
| 1609302025 | Emily Bosen | Audiologist | 4014 Leavenworth St, Omaha, NE 68105-0006 | 2017-05-04 |
| 1427597053 | Nicole Koricic | Nurse Practitioner | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2017-02-15 |
| 1336692631 | Erin C Walsh | Physician Assistant | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2016-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246656 | Omaha Facial Plastic Surgery PC | Otolaryngology | 17410 Burke St, Ste 200, Omaha, NE 68118-2245 | 2017-03-14 |
| 1710366018 | Brandon Wachal | Otolaryngology | 989250 Nebraska Medical Ctr, Omaha, NE 68198-3250 | 2015-05-20 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1265724058 | Eugene Lee Son | Otolaryngology | Dept of Otolaryngolgy, 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2011-05-11 |
| 1902113525 | John W Pflug Md, PC | Otolaryngology | 2114 S 109th St, Omaha, NE 68144-3105 | 2010-09-02 |
| 1962606137 | Brynn Elaina Richardson | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2007-06-12 |
| 1255496766 | Richard Mack Tempero | Otolaryngology | 7205 W Center Rd Ste 103, Omaha, NE 68124-2387 | 2006-12-26 |
| 1750491692 | Stanley H Schack | Otolaryngology | 2727 S 144th St Ste 250, Omaha, NE 68144-5236 | 2006-08-30 |
| 1841307782 | Peter R Demarco | Otolaryngology | 8601 West Dodge Rd, Ste 234 Dodge Professional Center, Omaha, NE 68114 | 2006-08-24 |
| 1669421954 | William A Ingram | Otolaryngology | 18015 Oak St, Suite B, Omaha, NE 68130-6097 | 2006-05-06 |
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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.