MEDPEDS PC (NPI# 1457898116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457898116 |
| Entity Type | Organization |
| Organization Name | MEDPEDS PC |
| Practice Address |
4209 N 195th St Elkhorn NE 68022-5174 |
| Practice Telephone | 4025575703 |
| Mailing Telephone | 4025575703 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | DR. LORI BRUNNER-BUCK (OWNER) |
| Authorized Official Telephone | 4026583014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 23344 | NE | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 23344 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4209 N 195TH ST |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-5174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| 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 |
|---|---|---|---|---|
| 1407914054 | James M Horrocks | Internal Medicine | 4704 N 193rd Avenue Cir, Elkhorn, NE 68022-5198 | 2006-12-05 |
| 1427165984 | Rossana M Madamba | Internal Medicine | W3985 County Rd Nn, Elkhorn, WI 53121 | 2006-08-23 |
| 1295081651 | Jason D Rauba | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2012-08-02 |
| 1306077078 | Lindsay Carolyn Northam | Internal Medicine | 717 N 190th Plz, Ste. 3200, Elkhorn, NE 68022-3913 | 2009-07-29 |
| 1649460908 | Ewelina I Jurczyk | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2007-08-01 |
| 1396894705 | Alex C Canda | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2007-01-09 |
| 1538227012 | Independent Medical Evaluation and Consultation PC | Internal Medicine | 4704 N 193rd Avenue Cir, Elkhorn, NE 68022-5198 | 2006-12-05 |
| 1346355146 | Laura A Frigyes | Internal Medicine | 717 N 190th Plz, Ste.3200, Elkhorn, NE 68022-3913 | 2006-08-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDPEDS PC.
| 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.