DIAGNOSTIC RADIOLOGY PC VEIN CLINIC (NPI# 1619390754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619390754 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RADIOLOGY PC VEIN CLINIC |
| Practice Address |
16929 Frances St Ste 204 Omaha NE 68130 |
| Mailing Address |
Po Box 3521 Omaha NE 68103-0521 |
| Practice Telephone | 4027585233 |
| Practice Fax Number | 4028849960 |
| Mailing Telephone | 3086476444 |
| Mailing Fax Number | 8669022445 |
| Enumeration Date | 2014-01-26 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | JO A POHL (MANAGER) |
| Authorized Official Telephone | 3086476444 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIAGNOSTIC RADIOLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| Street Address |
16929 FRANCES ST STE 204 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497713291 | Diagnostic Radiology, P.C. | Radiology | 16929 Frances St Ste 204, Omaha, NE 68130 | 2006-05-02 |
| 1336358233 | Rajkumar Yarlagadda | Radiology | 16929 Frances St Ste 204, Omaha, NE 68130-4683 | 2007-05-21 |
| 1548218696 | James Francis Smith | Radiology | 16929 Frances St Ste 204, Omaha, NE 68130 | 2006-05-04 |
| 1760440507 | Robert John Forbes | Radiology | 16929 Frances St Ste 204, Omaha, NE 68130 | 2006-05-02 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104319664 | Jackson Wyatt Boice | Radiology | S 42nd St and Emile St, Omaha, NE 68198-8500 | 2018-06-10 |
| 1396163135 | Bijal Shah | Radiology | S 42nd St & Emile St, Omaha, NE 68198-0001 | 2014-03-30 |
| 1417198995 | Guy Neil Gibson | Radiology | 905 S 110th Plz, Omaha, NE 68154-3370 | 2009-03-13 |
| 1235312257 | James F Johnson | Radiology | 9847 Bloomfield Dr, Omaha, NE 68114-2117 | 2007-12-12 |
| 1114126802 | Julie Ann Ratino | Radiology | 301 N. 60th Street, Omaha, NE 68131 | 2007-07-13 |
| 1700088028 | Matthew Mendlick | Radiology | 16116 Bedford Ave, Omaha, NE 68116-6433 | 2007-05-31 |
| 1700095452 | Roger Kent Harned | Radiology | 12624 Martha St, Omaha, NE 68144-2626 | 2007-05-21 |
| 1740492230 | Melissa Nicole Manzer | Radiology | 981045 Nebraska Medical Center, Omaha, NE 68198-1045 | 2007-05-04 |
| 1740407618 | Lyudmila M Muinov | Radiology | 42nd and Emile St, Omaha, NE 68198 | 2007-04-19 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 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.