JYOTI S MAHAPATRA (NPI# 1427074186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427074186 |
| Entity Type | Individual |
| Full Name | JYOTI S MAHAPATRA |
| Credential | MD |
| Practice Address |
11111 S 84th St Papillion NE 68046-4122 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 4025933550 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194231 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 23692 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100249951-00 | 05 | |
| NE | SHAREADVANTAGE | 39-02306 | 01 |
| NE | RAILROAD MEDICARE | P00374033 | 01 |
| NE | BCBS | 35611 | 01 |
| IA | 0722868 | 05 |
| Street Address |
11111 S 84TH ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411833 | New Century Physicians of Nebraska LLC | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2005-07-14 |
| 1568912392 | Darlene Mowrey | Physical Therapist | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1326371055 | Darcy L Thompson | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2009-09-14 |
| 1801129911 | Jaquelyn L Tresemer | Nurse Practitioner | 11111 S 84th St, Papillion, NE 68046-4122 | 2009-09-09 |
| 1689836124 | David Rupiper | Radiology | 11111 S 84th St, Suite 2476, Papillion, NE 68046-4122 | 2008-06-26 |
| 1053589549 | Jeremy Michael Baum | Radiology | 11111 S 84th St, Suite 2476, Papillion, NE 68046-4122 | 2008-02-18 |
| 1184833477 | Alegent Health Midlands Hospital Outpatient Pharmacy | General Acute Care Hospital | 11111 S 84th St, Papillion, NE 68046-4122 | 2007-05-22 |
| 1699987388 | Timea Bor | Hospitalist | 11111 S 84th St, Papillion, NE 68046-4122 | 2007-05-04 |
| 1053432997 | Mildred Pepple | Nurse Practitioner | 11111 S 84th St, Papillion, NE 68046-4122 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192853 | Scott Douglas Irvine | Emergency Medicine | 1101 Carriage Rd, Papillion, NE 68046-2803 | 2012-04-09 |
| 1770665036 | John A. Otto | Emergency Medicine | 8508 Oahu Cir, Papillion, NE 68046-5615 | 2006-10-19 |
| 1700852134 | Matthew O Epp | Emergency Medicine | 1902 Ridgewood Dr, Papillion, NE 68133-2478 | 2006-02-26 |
| 1063411833 | New Century Physicians of Nebraska LLC | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2005-07-14 |
| 1326371055 | Darcy L Thompson | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2009-09-14 |
| 1972653715 | Andrew Herd | Emergency Medicine | 11111 S 84th St, Department of Emergency Medicine, Papillion, NE 68046-4122 | 2007-01-12 |
| 1417046079 | Kristi Witcher | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2006-10-12 |
| 1336150739 | Brent C Bunz | Emergency Medicine | 11111 S 84th St, Er Dept, Papillion, NE 68046-4122 | 2006-08-10 |
| 1528094299 | Lee D Millward | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2006-06-24 |
| 1194777623 | Jeffrey Todd Snyder | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2006-05-16 |
| Find all providers in PAPILLION | ||||
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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.