JMISKO MEDICAL GROUP LLC (NPI# 1568948735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568948735 |
| Entity Type | Organization |
| Organization Name | JMISKO MEDICAL GROUP LLC |
| Practice Address |
5800 Hidcote Dr Ste 103 Lincoln NE 68516-5536 |
| Practice Telephone | 4024845144 |
| Practice Fax Number | 4024845145 |
| Mailing Telephone | 4024845144 |
| Mailing Fax Number | 4024845145 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | CHELE SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 4024845144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | NE | Allopathic & Osteopathic Physicians |
| Street Address |
5800 HIDCOTE DR STE 103 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969677 | Kari Lynn Goering | Registered Nurse | 5800 Hidcote Dr Ste 103, Lincoln, NE 68516-5536 | 2017-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| 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.