MARK J PUCCIONI


Address: 8005 Farnam Dr, Suite 305, Omaha, NE 68114
Phone: 4023989243

MARK J PUCCIONI (NPI# 1578514881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578514881
Entity Type Individual
Full Name MARK J PUCCIONI
Credential MD
Practice Address 8005 Farnam Dr
Suite 305
Omaha
NE 68114
Mailing Address Po Box 241353
Omaha
NE 68124
Practice Telephone 4023989243
Practice Fax Number 4023989253
Mailing Telephone 4023989243
Mailing Fax Number 4023989253
Enumeration Date 2006-05-12
Last Update Date 2008-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 21012 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 1540658 05
NE 47061940513 05
IA BCBS 97943 01
NE BCBS 34166 01

Office Location

Street Address 8005 FARNAM DR
SUITE 305
City OMAHA
State NE
Zip Code 68114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265413389 Iris Jean Moore Otolaryngology 8005 Farnam Dr, Suite 204, Omaha, NE 68114-3426 2005-11-07
1346645942 Physicians Clinic Inc Durable Medical Equipment & Medical Supplies 8005 Farnam Dr, Ste 303, Omaha, NE 68114-3426 2014-10-27
1144644790 Michele Rene Nutsch Physical Therapy Assistant 8005 Farnam Dr, Omaha, NE 68114-3426 2014-02-18
1417385915 Amy Koch Physical Therapist 8005 Farnam Dr, Ste 303, Omaha, NE 68114-3426 2013-10-18
1275886061 Emily Mary Marquis Hearing Instrument Specialist 8005 Farnam Dr, Omaha, NE 68114-3426 2012-10-18
1912155607 Amy Nadine Canine Audiologist 8005 Farnam Dr, Suite 206, Omaha, NE 68114-3426 2008-09-05
1225213283 Britt A Thedinger Md PC Durable Medical Equipment & Medical Supplies 8005 Farnam Dr, Ste 206, Omaha, NE 68114-3426 2008-01-08
1174737852 Midwest Neurosurgery, PC Clinic/Center 8005 Farnam Dr, Suite 202, Omaha, NE 68114-3426 2007-05-10
1245391119 Central Plains Ent, PC Specialist 8005 Farnam Dr, Suite 204, Omaha, NE 68114-3426 2006-12-13
1760410880 Julie R Walsh Physician Assistant 8005 Farnam Dr, Suite 305, Omaha, NE 68114-3426 2006-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689237356 Jared Nathan Holthaus Optometrist 625 N. 98th St, Omaha, NE 68114 2019-04-18
1346701869 On Site Health and Wellness, LLC Dietitian, Registered 7905 Pacific Street, Omaha, NE 68114 2019-03-27
1801301205 Logan Johnson Specialist/Technologist 8803 Webster Plz, Omaha, NE 68114 2017-12-06
1992224687 Douglas Medical Supplies Durable Medical Equipment & Medical Supplies 7914 W Dodge Rd Ste 916, Omaha, NE 68114 2017-09-13
1023568540 Active Spine Physical Therapy, LLC Clinic/Center 10110 Nicholas St Ste 100, Omaha, NE 68114 2016-10-07
1417400706 Kayla Ann Leddy Counselor 7701 Pacific St Ste 100a, Omaha, NE 68114 2016-08-03
1134561103 Julio Cesar Deleon Iv Counselor 9212 California Plaza #308, Omaha, NE 68114 2013-07-19
1477992261 Nicole Janine Lecci Dentist 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 2013-06-14
1538504436 Christian Louis Barney Radiology 8303 Dodge St Ste Ll6, Omaha, NE 68114 2013-05-06
1558606665 Nbd Solutions Durable Medical Equipment & Medical Supplies 327 N 78 Street, Omaha, NE 68114 2012-11-29
Find all providers in zip 68114

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447787783 Md West One, PC Neurological Surgery 7710 Mercy Rd Ste 224, Omaha, NE 68124-2346 2017-05-17
1023062999 Aviva Abosch Neurological Surgery 4242 Farnam St Ste 550, Omaha, NE 68131-2813 2006-05-22
1164057808 Jamie Wilson Neurological Surgery 4242 Farnam St Ste 550, Omaha, NE 68131-2813 2020-03-03
1760028153 Md West One, PC Neurological Surgery 16120 W Dodge Rd, Omaha, NE 68118-2049 2019-11-21
1316508906 Luke Weisbrod Neurological Surgery 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 2019-06-25
1194210484 Alan C Wang Neurological Surgery 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 2018-06-28
1518457092 Frank Mezzacappa Neurological Surgery 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 2018-05-10
1093244980 Joseph Paul Menousek Neurological Surgery 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 2017-06-05
1396272498 Md West One, PC Neurological Surgery 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 2017-05-19
1922535236 Md West One, PC Neurological Surgery 17030 Lakeside Hills Plz Ste 200, Omaha, NE 68130-2396 2017-05-17
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68114

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Dataset Information

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.

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