CHILDRENS HOSPITAL & MEDICAL CENTER (NPI# 1346729886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346729886 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL & MEDICAL CENTER |
| Practice Address |
111 N 84th St Omaha NE 68114 |
| Mailing Address |
8200 Dodge St Omaha NE 68114-4113 |
| Practice Telephone | 4029556826 |
| Mailing Telephone | 4029556826 |
| Mailing Fax Number | 4029556850 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | RICHARD G AZIZKHAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4029556795 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS HOSPITAL & MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
111 N 84TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508091109 | Melissa Ann Muff-luett | Pediatrics | 111 N 84th St, Omaha, NE 68114-4101 | 2009-05-26 |
| 1982028817 | Michelle Craig | Physician Assistant | 111 N 84th St, Omaha, NE 68114-4101 | 2014-02-12 |
| 1497067581 | Christina M Lens | Physician Assistant | 111 N 84th St, Omaha, NE 68114-4101 | 2010-07-06 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1598006611 | Rai Care Centers of Nebraska II LLC | Clinic/Center | 2916 S 84th St, Omaha, NE 68124-3213 | 2013-03-14 |
| 1013294156 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7454 N 30th St, Omaha, NE 68112-2722 | 2011-11-03 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
| 1295829877 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 4411 Center Street, Suite A, Omaha, NE 68105-2696 | 2006-10-03 |
| 1366475741 | Dialysis Clinic Inc. | Clinic/Center | 3316 Dodge St, Omaha, NE 68131-3403 | 2006-07-08 |
| 1609809086 | Dialysis Clinic Inc. | Clinic/Center | 3015 N 118th Cir, Omaha, NE 68164-3685 | 2006-07-08 |
| 1750343109 | Dva Renal Healthcare Inc | Clinic/Center | 3339 L St, Omaha, NE 68107-2500 | 2006-04-03 |
| 1891757233 | Dva Renal Healthcare Inc | Clinic/Center | 144 S 40th St, Omaha, NE 68131-3004 | 2006-04-03 |
| 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.