JEREMIAH JOHN GUMS (NPI# 1457671539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457671539 |
| Entity Type | Individual |
| Full Name | JEREMIAH JOHN GUMS |
| Credential | MD |
| Practice Address |
14080 Hospital Rd Boys Town NE 68010 |
| Mailing Address |
555 N 30th St Omaha NE 68131-2136 |
| Practice Telephone | 4027786900 |
| Practice Fax Number | 4027786917 |
| Mailing Telephone | 4022808100 |
| Mailing Fax Number | 4022808103 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 27172 | NE | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | TEP 6226 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7205 W Center Rd Ste 103, Omaha, NE 681242387 | 4023927600 | 5313550001 |
| Street Address |
14080 HOSPITAL RD |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578534632 | Elizabeth Ann Hastreiter | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2006-01-27 |
| 1134493034 | Kara Marie Wolff | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2012-02-24 |
| 1316217946 | Tara Leah Goesch | Nurse Practitioner | 14080 Hospital Rd, Children's Hosp & Medical Ctr - Cardiothoracic Surgery, Boys Town, NE 68010-7513 | 2012-01-12 |
| 1346518636 | Linda A Brady | Registered Nurse | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2011-12-01 |
| 1265730519 | Jennifer Frances Banfield | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2011-03-10 |
| 1043472632 | Michael G Dawson | Pediatrics | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2008-06-26 |
| 1992964142 | Erica Nell Martin | Pediatrics | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2008-06-03 |
| 1578740502 | Father Flanagans Boys Home | Pharmacy | 14080 Hospital Rd, Boys Town, NE 68010 | 2008-01-22 |
| 1346444585 | Carrie Ab Hoarty | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-06-12 |
| 1699989442 | Kari Ann Neemann | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1598820912 | Shelly L Nykodym | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| Find all providers in zip 68010 | ||||
| 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 |
|---|---|---|---|---|
| 1346444585 | Carrie Ab Hoarty | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-06-12 |
| 1699989442 | Kari Ann Neemann | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-05-10 |
| 1043261092 | Robert J Schwab | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2006-05-15 |
| 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 |
| 1841840600 | Hastings Internal Medicine Associates PC | Internal Medicine | 2115 N Kansas Ave Ste 105a, Hastings, NE 68901-2615 | 2019-09-13 |
| 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 |
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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.