CARDIOVASCULAR CLINIC OF NEBRASKA LLC (NPI# 1346731759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346731759 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CLINIC OF NEBRASKA LLC |
| Other Organization Name | PIONEER HEART INSTITUTE |
| Practice Address |
6940 Van Dorn St Ste 201 Lincoln NE 68506-2858 |
| Practice Telephone | 4024144200 |
| Practice Fax Number | 4024144202 |
| Mailing Telephone | 4024144200 |
| Mailing Fax Number | 4024144202 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | VISHWAJETH B BHOOPALAM (MANAGING PARTNER) |
| Authorized Official Telephone | 4024144200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pioneer Heart Institute | Doing Business As Name - Organization |
| Street Address |
6940 VAN DORN ST STE 201 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831119841 | Vishwajeth B Bhoopalam | Internal Medicine | 6940 Van Dorn St Ste 201, Lincoln, NE 68506 | 2006-07-20 |
| 1285287755 | Cassandra Lundberg | Physician Assistant | 6940 Van Dorn St Ste 201, Lincoln, NE 68506-2858 | 2019-07-23 |
| 1568472256 | Ann M Wynegar | Physician Assistant | 6940 Van Dorn St Ste 201, Lincoln, NE 68506-2858 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903068 | Matrix Medical Network of Nebraska PC | Internal Medicine | 233 S 13th St Ste 1900, Lincoln, NE 68508-2000 | 2020-05-08 |
| 1013282821 | William Boaz Stason | Internal Medicine | 29 Sandy Pond Rd, Lincoln, MA 01773-2006 | 2012-03-12 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1316025505 | Robert Lee Percell Jr. | Internal Medicine | 1600 S 48th St Ste 600, Lincoln, NE 68506-1275 | 2006-11-02 |
| 1922088657 | Kaliprasad N Ayala | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-01-19 |
| 1164666095 | Christopher R Balwanz | Internal Medicine | 1600 S 48th St, Ste 600, Lincoln, NE 68506-1275 | 2009-04-22 |
| 1487859658 | Charles Stephen Wilson | Internal Medicine | 1500 S 48th St, Lincoln, NE 68506-1225 | 2007-06-18 |
| 1598880098 | Ajay Chander | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2007-03-21 |
| 1346321981 | Walid Michael Kutayli | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2006-10-18 |
| 1295821585 | Anuj Jain | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-10-05 |
| Find all providers in LINCOLN | ||||
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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.