PROFESSIONAL SERVICES OF CREIGHTON UNIVERSITY MEDICAL CENTER, LLC (NPI# 1669608147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669608147 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SERVICES OF CREIGHTON UNIVERSITY MEDICAL CENTER, LLC |
| Practice Address |
601 N 30th St Omaha NE 68131-2137 |
| Practice Telephone | 4024495371 |
| Practice Fax Number | 4024495020 |
| Mailing Telephone | 4024495371 |
| Mailing Fax Number | 4024495020 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET) |
| Authorized Official Telephone | 4698932563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers |
| Street Address |
601 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627036 | Blanca Lucia Marky | Psychiatry & Neurology | 601 N 30th St, Suite 5300, Omaha, NE 68131-2137 | 2005-05-24 |
| 1528503851 | Steffany J Chedel | Registered Nurse | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1205371572 | Allyson K Doerr | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1467909655 | Teresa Champion | Nurse Practitioner | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-06 |
| 1750837910 | Muhammad Adil Mumtaz | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-08-28 |
| 1730632894 | Abhishek Thandra | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-25 |
| 1265885370 | Ankit Verma | Surgery | 601 N 30th St, Cu Department of Surgery, Omaha, NE 68131-2128 | 2016-07-13 |
| 1225480650 | Danielle Flores | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-11 |
| 1649622333 | Mateo Cindric | Family Medicine | 601 N 30th St, Cu - Department of Family Medicine, Omaha, NE 68131-2128 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
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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.