EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C. (NPI# 1699868596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699868596 |
| Entity Type | Organization |
| Organization Name | EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C. |
| Practice Address |
11704 W Center Rd Suite 211 Omaha NE 68144-4375 |
| Practice Telephone | 4023937050 |
| Practice Fax Number | 4023932814 |
| Mailing Telephone | 4023937050 |
| Mailing Fax Number | 4023932814 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | DR. THOMAS JAMES DOBLEMAN (PRESIDENT) |
| Authorized Official Telephone | 4023937050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 18235 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUECROSS/BLUE SHIELD IA | 97053 | 01 |
| NE | BLUECROSS/BLUE SHIELD NE | 02621 | 01 |
| NE | 0957373 | 05 |
| Street Address |
11704 W CENTER RD SUITE 211 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173770 | Peter Monaco Cimino | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-16 |
| 1629515085 | Andrew Wakin | Nurse Practitioner | 11704 W Center Rd, Suite 103 A, Omaha, NE 68144-4375 | 2017-01-24 |
| 1922453984 | Claire E Hulett | Physical Therapy Assistant | 11704 W Center Rd, Suite #200, Omaha, NE 68144-4375 | 2016-04-27 |
| 1710038534 | Outpatient Surgical Specialties Center, LLC | Clinic/Center | 11704 W Center Rd, Suite 110, Omaha, NE 68144-4375 | 2007-01-16 |
| 1295816759 | Alegent Health Bergan Mercy Health Center | Clinic/Center | 11704 W Center Rd, Omaha, NE 68144-4375 | 2006-10-18 |
| 1447343405 | Thomas James Dobleman | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1831206978 | Kevin P Reagan | Internal Medicine | 11704 W Center Rd, Suite 210, Omaha, NE 68144-4375 | 2006-08-24 |
| 1093759920 | Mary G Stroesser | Occupational Therapist | 11704 W Center Rd, Suite 200, Omaha, NE 68144-4375 | 2006-06-14 |
| 1780625475 | James J Sevcik | Physical Therapist | 11704 W Center Rd, Ste. 100, Omaha, NE 68144-4375 | 2006-06-10 |
| 1710934849 | Thomas J Persing | Specialist/Technologist, Other | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246656 | Omaha Facial Plastic Surgery PC | Otolaryngology | 17410 Burke St, Ste 200, Omaha, NE 68118-2245 | 2017-03-14 |
| 1710366018 | Brandon Wachal | Otolaryngology | 989250 Nebraska Medical Ctr, Omaha, NE 68198-3250 | 2015-05-20 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1265724058 | Eugene Lee Son | Otolaryngology | Dept of Otolaryngolgy, 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2011-05-11 |
| 1902113525 | John W Pflug Md, PC | Otolaryngology | 2114 S 109th St, Omaha, NE 68144-3105 | 2010-09-02 |
| 1962606137 | Brynn Elaina Richardson | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2007-06-12 |
| 1255496766 | Richard Mack Tempero | Otolaryngology | 7205 W Center Rd Ste 103, Omaha, NE 68124-2387 | 2006-12-26 |
| 1750491692 | Stanley H Schack | Otolaryngology | 2727 S 144th St Ste 250, Omaha, NE 68144-5236 | 2006-08-30 |
| 1841307782 | Peter R Demarco | Otolaryngology | 8601 West Dodge Rd, Ste 234 Dodge Professional Center, Omaha, NE 68114 | 2006-08-24 |
| 1669421954 | William A Ingram | Otolaryngology | 18015 Oak St, Suite B, Omaha, NE 68130-6097 | 2006-05-06 |
| 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.