DR. WUTTIPORN MANATSATHIT (NPI# 1396023834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396023834 |
| Entity Type | Individual |
| Full Name | DR. WUTTIPORN MANATSATHIT |
| Credential | M.D. |
| Practice Address |
Emile @ 42nd St Omaha NE 68198-0001 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025594015 |
| Practice Fax Number | 4025599416 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
30699 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
EMILE @ 42ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422562 | Leslie Irene Karas | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2005-10-27 |
| 1952929234 | Denae E Luetchens | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2020-07-13 |
| 1861010852 | Lyndsie A Lafleur | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-07-07 |
| 1922625029 | Jessica M Fleissner | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2020-07-06 |
| 1952927139 | Rebecca K Vanwinkle | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-06-23 |
| 1417572637 | Erin E Meier | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-06-12 |
| 1104445519 | Rachel M Dancer | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2020-04-15 |
| 1699303792 | Vanessa Rodriguez | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-04-01 |
| 1205464914 | Elaina M Knowles | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-03-29 |
| 1891323598 | Luke T Goedert | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1679888317 | Bienestar Inc | Internal Medicine | 643 N 98th St, Suite 289, Omaha, NE 68114-2370 | 2010-08-18 |
| 1013179696 | Kathryn Ellen Hutchins | Internal Medicine | 110 N. 175th St, Suite 2000, Omaha, NE 68118-0001 | 2008-06-25 |
| 1518130624 | Jordan D Holmes | Internal Medicine | 8901 Indian Hills Dr Ste 200, Omaha, NE 68114-4032 | 2008-04-09 |
| 1366417636 | Timothy B Denzler | Internal Medicine | 8021 Cass St, Omaha, NE 68114-3525 | 2006-02-21 |
| 1124015672 | John D Woodbury | Internal Medicine | 17521 Douglas St, Omaha, NE 68118-3016 | 2005-09-30 |
| 1134120165 | John J Ferry Md PC | Internal Medicine | 7205 W Center Rd, Suite 100, Omaha, NE 68124 | 2005-08-01 |
| 1427464130 | Sirish Rao | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124 | 2014-07-02 |
| 1194145169 | Saurabh Chandan | Internal Medicine | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2014-04-17 |
| 1932442613 | Abdullah Abdussalam | Internal Medicine | 7710 Mercy Rd, Suite 320, Omaha, NE 68124-2372 | 2013-04-01 |
| 1174817720 | Subhash Chandra | Internal Medicine | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2372 | 2011-05-31 |
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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.