ALEGENT CREIGHTON CLINIC


Address: 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664
Phone: 4027170820

ALEGENT CREIGHTON CLINIC (NPI# 1588012397) 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) 1588012397
Entity Type Organization
Organization Name ALEGENT CREIGHTON CLINIC
Other Organization Name CHI HEALTH CLINIC
Practice Address 16909 Lakeside Hills Ct
Suite 208
Omaha
NE 68130-4664
Mailing Address 7261 Mercy Rd
Omaha
NE 68124-2311
Practice Telephone 4027170820
Practice Fax Number 4027170830
Mailing Telephone 4023986255
Enumeration Date 2016-06-02
Last Update Date 2016-06-02
Authorized Official Name KEITH JANKUSKI (COO)
Authorized Official Telephone 4023434374
Is Organization Subpart Y
Parent Organization Name CHI NEBRASKA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
NE Podiatric Medicine & Surgery Service Providers
Y 207X00000X Orthopaedic Surgery NE Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
CHI HEALTH CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285082917 Alegent Creighton Clinic Podiatrist 1413 S Washington St, Ste 200, Papillion, NE 68046-4165 2016-06-03
1518227859 Alegent Creighton Clinic Allergy & Immunology 12809 W Dodge Road, Omaha, NE 68154-2155 2012-05-21
1699035931 Alegent Creighton Clinic Family Medicine 12809 W Dodge Rd, Omaha, NE 68154-2155 2012-05-21
1912267238 Alegent Creighton Clinic Clinical Medical Laboratory 12809 W Dodge Rd, Omaha, NE 68154-2155 2012-05-21
1154680700 Alegent Creighton Clinic Allergy & Immunology 12809 W Dodge Road, Omaha, NE 68154-2155 2012-05-16
1225332430 Alegent Creighton Clinic Clinic/Center 1203 S Locust St, Glenwood, IA 51534-1872 2011-01-03
1598811069 Alegent Creighton Clinic Internal Medicine 800 Mercy Dr, Council Bluffs, IA 51503-3128 2007-01-26
1134283013 Alegent Creighton Clinic Obstetrics & Gynecology 800 Mercy Dr, Suite 210, Council Bluffs, IA 51503-3128 2006-12-21
1548287907 Alegent Creighton Clinic Family Medicine 7500 Mercy Rd, Omaha, NE 68124-2319 2006-07-15

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALEGENT CREIGHTON CLINIC 12809 W Dodge Rd, Omaha, NE 68154-2155
Iowa Business Entities ALEGENT CREIGHTON CLINIC 12809 West Dodge Road, Omaha, NE 68154

Office Location

Street Address 16909 LAKESIDE HILLS CT
SUITE 208
City OMAHA
State NE
Zip Code 68130-4664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366448649 Scott C Nelson Podiatrist 16909 Lakeside Hills Ct, Ste 208, Omaha, NE 68130-4664 2005-06-22
1114467727 Ashley Ryan Schwartz Physician Assistant 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 2017-03-01
1083074751 Leah B Ridder Nurse Practitioner 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 2016-02-24
1972907822 Kathryn Graeve Nurse Practitioner 16909 Lakeside Hills Ct, Suite 400, Omaha, NE 68130-4664 2014-10-21
1952649162 Samantha J. Korth Physician Assistant 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 2013-01-22
1801150511 Anthony Robert Mann Physician Assistant 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 2012-06-27
1174842298 Margaret Wollschlager Ingemansen Family Medicine 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 2010-05-28
1417149741 Lakeside Orthopedics PC Durable Medical Equipment & Medical Supplies 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 2007-08-10
1043417710 Scott C Nelson Dpm Podiatrist 16909 Lakeside Hills Ct, North Professional Center #208, Omaha, NE 68130-4664 2007-06-27
1740481670 Aj Nixon Family Medicine 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 2007-05-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861998270 Samantha June Curto Nurse Practitioner 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 2018-04-04
1780196451 Heritage Oncare Home Health LLC Home Health 16934 Frances St Ste 200, Omaha, NE 68130 2017-11-02
1497281745 Dental Professionals of Nebraska, PC Dentist 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 2017-05-05
1891166492 Stephanie Tupper Speech-Language Pathologist 16338 Oak Circle, Omaha, NE 68130 2015-10-08
1194036723 Anthony John Macdissi Internal Medicine 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 2010-06-29
1568613305 Kelly Marie Barkmeier Occupational Therapist 1906 South 196th Street, Omaha, NE 68130 2008-10-09
1306009758 Melissa Sue Loseke Family Medicine 17021 Lakeside Hills Plz #200, Omaha, NE 68130 2008-07-07
1477724417 Denise L. Pollard Nurse Practitioner 17525 Gold Plaza Ste 116, Omaha, NE 68130 2008-03-18
1508053943 Omaha Family Medicine, P.C. Family Medicine 17841 Pierce Plz, Omaha, NE 68130 2007-10-01
1669672523 Jennifer L Liu Family Medicine 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 2007-07-19
Find all providers in zip 68130

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285836049 Daniel Firestone Orthopaedic Surgery 2727 S 144th St Ste 142, Omaha, NE 68144-5225 2007-06-04
1740333608 Midwest Orthopedics PC Orthopaedic Surgery 6829 N 72 St, Suite 7500, Omaha, NE 68122-1790 2007-01-22
1255347456 Randall D Neumann Orthopaedic Surgery 2725 South 144th St, Suite 212, Omaha, NE 68144 2006-07-31
1023050978 Mark E Dietrich Orthopaedic Surgery 981080 Nebraska Medical Ctr, Omaha, NE 68198-1080 2006-06-12
1316995665 Edward Vincent Fehringer Orthopaedic Surgery 4014 Leavenworth St, Omaha, NE 68105-1053 2006-05-05
1578552063 Bryan D Bredthauer Orthopaedic Surgery 11819 Miracle Hills Dr, Suite 203, Omaha, NE 68154-4428 2005-10-17
1346243755 Howard Randal Woodward Orthopaedic Surgery 13616 California St, Ste 100, Omaha, NE 68154-5335 2005-05-31
1497370407 Dylan Fischer Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-15
1619592888 Carla Strohhofer Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-12
1649895228 Keagan Timothy Gertz Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-10
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68130

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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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