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).
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 |
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 Name | Type Code |
---|---|
CHI HEALTH CLINIC | Doing Business As Name - Organization |
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 |
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 |
Street Address |
16909 LAKESIDE HILLS CT SUITE 208 |
City | OMAHA |
State | NE |
Zip Code | 68130-4664 |
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 |
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 Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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 |
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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.