CSJ PHYSICIAN SERVICES LLC (NPI# 1396050100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396050100 |
| Entity Type | Organization |
| Organization Name | CSJ PHYSICIAN SERVICES LLC |
| Practice Address |
3213 S 24th St Omaha NE 68108-1832 |
| Practice Telephone | 4025098410 |
| Practice Fax Number | 4023469448 |
| Mailing Telephone | 4025098410 |
| Mailing Fax Number | 4023469448 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | J. SCOTT RICHARDSON (SVP, OPS FINANCE & PMO, TENET) |
| Authorized Official Telephone | 4698936960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | NE | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | NE | Allopathic & Osteopathic Physicians |
| Street Address |
3213 S 24TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68108-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134270416 | Advanced Foot & Ankle PC | Clinic/Center | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2007-01-15 |
| 1366997868 | Bauza Cardiovascular Specialist LLC | Clinic/Center | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2016-08-25 |
| 1144626581 | Medical Anesthesia Associates PC | Anesthesiology | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256837 | Veronica Wolf | Counselor | 1449 S. 12th Street, Omaha, NE 68108 | 2014-09-04 |
| 1689015737 | Beverly Ann Brown | Occupational Therapy Assistant | 2305 South 10th Street, Omaha, NE 68108 | 2013-07-17 |
| 1679761381 | Denise Nebeker Counseling, Inc | Counselor | 2205 S. 10th Street, Ste 328, Omaha, NE 68108 | 2007-10-09 |
| 1316928435 | Nelso A Testa | Dentist | 2319 Vinton Street, Omaha, NE 68108 | 2005-11-07 |
| 1992166904 | Lauren Stone | Licensed Practical Nurse | 2305 S 10th St, Omaha, NE 68108 | 2016-03-18 |
| 1881032860 | Jordan Dudzinski | Dentist | 2002 Vinton Street, Omaha, NE 68108 | 2013-06-12 |
| 1679680508 | Sarah L Ott | Dentist | 2002 Vinton St, Vinton Street Dental, Omaha, NE 68108 | 2006-08-24 |
| 1932142254 | David E Cornell | Podiatrist | 1207 S 13th St, Omaha, NE 68108-0587 | 2006-06-14 |
| 1649554858 | Natalie Marie Gill | Speech-Language Pathologist | 1206 Castelar St, Omaha, NE 68108-1036 | 2011-10-06 |
| 1417942277 | Delmar Gardens of Omaha, LLC | Skilled Nursing Facility | 2305 S 10th St, Omaha, NE 68108-1108 | 2005-09-16 |
| Find all providers in zip 68108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
| 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.