NEBRASKA DERMATOLOGY LLC (NPI# 1437350576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437350576 |
| Entity Type | Organization |
| Organization Name | NEBRASKA DERMATOLOGY LLC |
| Practice Address |
5533 S 27th Street Suite 103 Lincoln NE 68512-1664 |
| Practice Telephone | 4024237000 |
| Practice Fax Number | 7024239399 |
| Mailing Telephone | 4024237000 |
| Mailing Fax Number | 7024239399 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | REX F LARGEN (PRESIDENT) |
| Authorized Official Telephone | 4024237000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17872 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
5533 S 27TH STREET SUITE 103 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68512-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036112 | Rex F Largen | Dermatology | 5533 S 27th Street, Suite 103, Lincoln, NE 68512-1664 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1568961530 | Japhia Warren | Licensed Practical Nurse | 7001 S. 14th Street, Lincoln, NE 68512 | 2018-02-06 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1447774427 | Adjusted Life Chiropractic LLC | Chiropractor | 2601 Jamie Ln, Ste 104, Lincoln, NE 68512 | 2017-08-01 |
| 1144740101 | Spencer Norton Brown | Chiropractor | 2600 Jamie Ln, Suite 104, Lincoln, NE 68512 | 2017-06-21 |
| 1669826293 | Shaun Stinson | Dentist | 6835 S. 27th St., Ste 2, Lincoln, NE 68512 | 2016-04-20 |
| 1407100324 | Robert M. Lane | Chiropractor | 1245 Libra Dr., Suite 100, Lincoln, NE 68512 | 2012-10-30 |
| 1689782609 | Lynette S Erickson | Counselor | 5539 S 27th, Suite 101, Lincoln, NE 68512 | 2006-08-29 |
| 1699883561 | Duane E Wade | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512 | 2006-08-29 |
| 1548779739 | Costco Wholesale Corportation | Hearing Aid Equipment | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| Find all providers in zip 68512 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1619144003 | Casey Bowen | Dermatology | 6969 South St, Lincoln, NE 68506-2835 | 2008-05-14 |
| 1356407613 | Troy E Rustad, Md, Pa | Dermatology | 3334 Woodsshire Parkway, Lincoln, NE 68502 | 2006-12-29 |
| 1598838757 | Ann E Lott | Dermatology | 6406 Chesterfield Ct, Lincoln, NE 68510-2361 | 2006-11-16 |
| 1598863706 | Geoffrey Charles Basler | Dermatology | 2455 Pine Lake Road Suite 110, Lincoln, NE 68512-3612 | 2006-09-20 |
| 1295785525 | Brian Jean Herbin | Dermatology | 2455 Pine Lake Rd Ste 110, Lincoln, NE 68512-3665 | 2006-05-10 |
| 1417946484 | Mark D Heibel | Dermatology | 7701 Preserve Ln, Lincoln, NE 68516-4473 | 2005-10-20 |
| 1326036112 | Rex F Largen | Dermatology | 5533 S 27th Street, Suite 103, Lincoln, NE 68512-1664 | 2005-10-06 |
| 1558354407 | Daniel Evan Viders | Dermatology | 3 Wake Robin Rd Unit 5, Lincoln, RI 02865 | 2005-08-25 |
| 1003815101 | Stuart Paul Westburg | Dermatology | 2756 O St, Lincoln, NE 68510-1341 | 2005-07-20 |
| 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.