CHILDREN'S HOSPITAL (NPI# 1609900323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609900323 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL |
| Practice Address |
Children's Hospital - Emergency Physicians 8200 Dodge Street Omaha NE 68114-4113 |
| Mailing Address |
Children's Hospital 8200 Dodge Street Omaha NE 68114-4113 |
| Practice Telephone | 4029555150 |
| Practice Fax Number | 4029555151 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY BARNA (DIRECTOR - REIMB & MANAGED CARE) |
| Authorized Official Telephone | 4029556775 |
| Authorized Official Credential | MPA, MS, FHFMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | D02979 | 01 |
| IA | 0952333 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255608048 | Children's Hospital | General Acute Care Hospital | 11 E Milton Rd, Apt 2, Brookline, MA 02445-6738 | 2011-11-21 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1548452535 | Children's Hospital | Psychiatric Unit | 210 State St Bldg 10, New Orleans, LA 70118-5735 | 2007-08-14 |
| 1679607428 | Children's Hospital | Pediatrics | Children's Hospital - Urgent Care - Eagle Run, 13808 West Maple Road, Omaha, NE 68164-6231 | 2007-03-15 |
| 1255932182 | Children's Hospital | Ambulance | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-11-06 |
| 1790121234 | Children's Hospital | Transplant Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-05-10 |
| 1457601437 | Children's Hospital | Ambulance | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2012-09-17 |
| 1326344003 | Children's Hospital | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2011-01-28 |
| 1306156138 | Children's Hospital | Specialist | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2010-10-14 |
| 1790094159 | Children's Hospital | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL | 200 Henry Clay Ave, New Orleans, LA 70118-5720 |
| Virginia Business Entities | CHILDREN'S HOSPITAL | 111 Michigan Ave Nw, Washington, District Of Columbia 20010 |
| Colorado Business Entities | CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION | 2201 Broadway, Suite 600, Oakland, CA 94612 |
| Colorado Business Entities | Children's Hospital & Research Center Foundation, Inc. | 2201 Broadway, Suite 600, Oakland, CA 94612-3017 |
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL 2 | 14 Ly Tu Trong Street, Ben Nghe Ward, Ho Chi Minh, HO CHI MINH, VNM |
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. | 9000 W Wisconsin Ave Stop 1, Milwaukee, WI 53226-3518 |
| Colorado Business Entities | Children's Hospital and Healthcare Services Foundation | 2924 Brook Road, Richmond, VA 23220 |
| Virginia Business Entities | CHILDREN'S HOSPITAL AND HEALTHCARE SERVICES FOUNDATION | 2924 Brook Road, Richmond, Virginia 23220 |
| Virginia Business Entities | CHILDREN'S HOSPITAL AND RESEARCH CENTER FOUNDATION | 2201 Broadway, Ste 600, Oakland, California 94612 |
| North Carolina Corporations | Children's Hospital and Research Center Foundation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
CHILDREN'S HOSPITAL - EMERGENCY PHYSICIANS 8200 DODGE STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| 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 Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952490112 | Debra J Tomek | Pediatrics | Children's Hospital - Emergency Department, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-10-12 |
| 1972867489 | Prince Antonio Harrison | Pediatrics | 8200 Dodge St, Omaha, NE 68114 | 2012-06-28 |
| 1689862302 | Jennifer Lynn Wang | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2007-10-09 |
| 1023182607 | Scott S James | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-11-17 |
| 1194899799 | Duane M Jensen | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-11-17 |
| 1700967999 | Corey S Joekel | Pediatrics | 8200 Dodge Street, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-10-17 |
| 1902995335 | Linda K Matson | Pediatrics | Children's Hospital - Emergency Department, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-10-12 |
| 1073602462 | Alan G Fuss | Pediatrics | 8200 Dodge Street, Emergency Department, Omaha, NE 68114-4113 | 2006-10-12 |
| 1619066255 | David M Tolo | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-10-12 |
| 1578513875 | Arwa K Nasir | Pediatrics | 8200 Dodge Street, Childrens Hospital - Emergency Department, Omaha, NE 68114 | 2006-05-10 |
| 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.