CREIGHTON UNIVERSITY MEDICAL CENTER (NPI# 1457489619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457489619 |
| Entity Type | Organization |
| Organization Name | CREIGHTON UNIVERSITY MEDICAL CENTER |
| Practice Address |
3802 Raynor Pkwy Suite 201 Bellevue NE 68123-6048 |
| Mailing Address |
7732 S 71st St Lavista NE 68128-3045 |
| Practice Telephone | 4024495800 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY LEE ARNOLD (LEAD PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4024495800 |
| Authorized Official Credential | P.T., D.P.T, CSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2139 | NE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164670196 | Creighton University Medical Center | Clinic/Center | 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123-2528 | 2008-09-03 |
| 1346466745 | Creighton University Medical Center | Clinic/Center | 601 N 30th St Ste 3m-100, Omaha, NE 68131-2137 | 2007-04-17 |
| Street Address |
3802 RAYNOR PKWY SUITE 201 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013012491 | Joseph A. Stangl | Physician Assistant | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2006-09-13 |
| 1245445790 | Creighton Saint Joseph Regional Healthcare System, L.L.C. | Rehabilitation Unit | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1184150542 | Bright Physical Therapy, LLC | Clinic/Center | 1130 140th Ave Ne Ste 300, Bellevue, WA 98005-2974 | 2017-05-04 |
| 1295139020 | Atlas Physical Therapy | Clinic/Center | 14862 Lake Hills Blvd Ste D-1, Bellevue, WA 98007-5821 | 2014-10-22 |
| 1962740936 | Bellevue Physical Therapy Associates, LLC | Clinic/Center | 701 Galvin Rd S, Suite 112, Bellevue, NE 68005-2206 | 2013-01-24 |
| 1578724902 | Dominate Physical Therapy LLC | Clinic/Center | 14360 Se Eastgate Way Ste 102, Bellevue, WA 98007-6462 | 2008-06-18 |
| 1275544165 | Physiotherapy Associates Inc | Clinic/Center | 15928 Ne 8th St, Bellevue, WA 98008-3908 | 2006-08-10 |
| 1114938099 | Physiotherapy Associates Inc | Clinic/Center | 15241 Ne 20th St, Bellevue, WA 98007-3802 | 2006-08-10 |
| 1528014875 | Biosports Northwest Pllc | Clinic/Center | 16007 Ne 8th St, Suite 200, Bellevue, WA 98008 | 2006-05-26 |
| 1588179923 | Innovate Rehab and Wellness LLC | Clinic/Center | 1804 Hillcrest Dr, Bellevue, NE 68005-3663 | 2017-12-07 |
| 1033645320 | Explore Pediatric Therapy | Clinic/Center | 3048 137th Ave Ne, Bellevue, WA 98005-1850 | 2017-05-04 |
| Find all providers in BELLEVUE | ||||
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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.