DR. JUSTIN GERHARD MADSON (NPI# 1528217395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528217395 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN GERHARD MADSON |
| Credential | M.D., PHD |
| Practice Address |
4242 Farnam St. Suite 360 Omaha NE 68131-2850 |
| Mailing Address |
4242 Farnam St Suite 360 Omaha NE 68131-2806 |
| Practice Telephone | 4025522555 |
| Practice Fax Number | 4025522598 |
| Mailing Telephone | 4025522555 |
| Mailing Fax Number | 4025522573 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 26614 | NE | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 27129 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE INDIVIDUAL PTAN | OK403917 | 01 |
| Street Address |
4242 FARNAM ST. SUITE 360 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| 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 |
|---|---|---|---|---|
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457551889 | Dermatology Specialists of Omaha LLC | Dermatology | 909 N 96th St Ste 201, Omaha, NE 68114-2508 | 2007-07-24 |
| 1508064833 | Robert J. Fonda, M.d., P.C. | Dermatology | 8601 W. Dodge Rd., Suite 118, Omaha, NE 68114-3457 | 2007-07-09 |
| 1740494806 | Tricia L Hultgren | Dermatology | 909 N 96 St, Suite 201, Omaha, NE 68114-2508 | 2007-05-09 |
| 1053461137 | Center of Dermatology, PC | Dermatology | 10110 Nicholas Street, Suite #103, Omaha, NE 68114-2185 | 2007-01-11 |
| 1316041734 | James M. Shehan | Dermatology | 12910 Pierce St Ste 120, Omaha, NE 68144-1106 | 2006-09-08 |
| 1801906326 | Christopher J Huerter | Dermatology | 601 N 30th St Ste 5700, Omaha, NE 68131-2137 | 2006-08-30 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| 1568436210 | Robert J. Fonda | Dermatology | 106 S 88th St, Omaha, NE 68114-4020 | 2006-02-16 |
| 1356324495 | Herschel E Stoller | Dermatology | 10110 Nicholas St, Suite #103, Omaha, NE 68114-2184 | 2005-11-22 |
| Find all providers in OMAHA | ||||
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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.