GEORGETOWN MEDICAL, PC (NPI# 1376518837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376518837 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN MEDICAL, PC |
| Other Organization Name | GEORGETOWN MEDICAL, P.C. |
| Practice Address |
3440 S 50th St Omaha NE 68106-3829 |
| Practice Telephone | 4025563000 |
| Practice Fax Number | 4029917115 |
| Mailing Telephone | 4025563000 |
| Mailing Fax Number | 4029917115 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | GEORGE STANLEY HUTFLESS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4025563000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 218816123 | NE | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LIC.# G. HUTFLESS | 18358 | 01 |
| IA | 2965301 | 05 | |
| NE | DEA# GEORGE HUTFLESS MD | BH1434050 | 01 |
| NE | 2801-18358 | 05 | |
| NE | GEORGE HUTFLESS,MD NPI # | 1891765004 | 01 |
| NE | 2801-1204 | 05 | |
| NE | GEORGE HUTFLESS S.SEC. # | 508741492 | 01 |
| Other Name | Type Code |
|---|---|
| Georgetown Medical, P.C. | Doing Business As Name - Organization |
| Street Address |
3440 S 50TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68106-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765004 | George Stanley Hutfless | Internal Medicine | 3440 S 50th St, Omaha, NE 68106-3829 | 2006-01-23 |
| 1275961906 | Margarita Rodriguez-escobar, M.d., LLC | Family Medicine | 3440 S 50th St, Omaha, NE 68106-3829 | 2013-10-15 |
| 1447526157 | St. George Family Practice P.c | Family Medicine | 3440 S 50th St, Omaha, NE 68106-3829 | 2012-03-27 |
| 1437373073 | Mohsen Abou Seif | Family Medicine | 3440 S 50th St, Omaha, NE 68106-3829 | 2007-04-13 |
| 1396805628 | Mary Ann Hutfless | Pharmacist | 3440 S 50th St, Omaha, NE 68106-3829 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1881130482 | Maverick Family Chiropractic, LLC | Chiropractor | 5002 Center St., Suite 4, Omaha, NE 68106 | 2017-01-06 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| Find all providers in zip 68106 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1003160847 | Lawrence Recruiting Specialists Inc. | Contractor | 3850 S 149th St, Suite #105, Omaha, NE 68144-5514 | 2012-11-01 |
| 1588899827 | Bethany Espanola | Contractor | 11133 O St, Triage Staffing Inc, Omaha, NE 68137-2337 | 2009-05-15 |
| 1649439159 | Keery L. Wolf | Contractor | 12930 Izard St, Omaha, NE 68154-1248 | 2008-06-09 |
| 1760501019 | Linda Ellen Daniels | Contractor | 11623 Arbor Street, Omaha, NE 68133-2934 | 2007-03-28 |
| 1295275832 | Balakumar Periyasamy | Contractor | 205 Giles St, Omaha, TX 75571-4013 | 2017-03-01 |
| 1447606546 | Austin Schlueter | Contractor | 10615 Fort St, Omaha, NE 68134-1203 | 2016-05-06 |
| 1548638489 | Nancy Deane Wilson Giordano | Contractor | 13609 California St, Omaha, NE 68154-5260 | 2015-09-09 |
| 1467604322 | Julie Alexandre Bryan | Contractor | 13609 California St, Omaha, NE 68154-5260 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734189 | Camelot Transportation Inc | Contractor | 1220 Central Ave Ste 3, Kearney, NE 68847-6811 | 2019-05-09 |
| 1215397567 | Rashell D Hillis | Contractor | 1346 N Hewett Ave, Hastings, NE 68901-2932 | 2016-02-29 |
| 1669764544 | Shauna Mucklow | Contractor | 2304 Central Ave, Kearney, NE 68847-5349 | 2011-05-10 |
| 1134335656 | Anthony Adam Cribelli | Contractor | 911 Mousel Ave, Cambridge, NE 69022-3628 | 2007-05-14 |
| 1346605235 | Angila Cisneros | Contractor | 1701 P St, Lincoln, NE 68508-1741 | 2015-12-21 |
| 1992171862 | Kelli Hatcher | Contractor | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2015-08-14 |
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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.