FAMILY HEALTHCARE OF WAHOO, LLC (NPI# 1699877423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699877423 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHCARE OF WAHOO, LLC |
| Practice Address |
964 N Laurel St Wahoo NE 68066-1527 |
| Practice Telephone | 4024434141 |
| Practice Fax Number | 4024434150 |
| Mailing Telephone | 4024434141 |
| Mailing Fax Number | 4024434150 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | LEO MEDUNA (OWNER) |
| Authorized Official Telephone | 4024434141 |
| Authorized Official Credential | MD, PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | CK3490 | 01 |
| Street Address |
964 N LAUREL ST |
| City | WAHOO |
| State | NE |
| Zip Code | 68066-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164576518 | Daileys Clinic Pharmacy Inc | Pharmacy | 964 N Laurel St, Wahoo, NE 68066-1527 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1235205238 | Larry Dean Swanson | Dentist | 427 North Broadway Street, Wahoo, NE 68066 | 2006-11-28 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| Find all providers in zip 68066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676342 | Freidel Medical Associates | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2007-06-14 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1083049746 | Wright Turn Lane PC | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2013-09-12 |
| 1427315654 | Wahoo Family & Sports Medicine, P.C. | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2012-04-12 |
| 1336433911 | Andrew P Opp | Family Medicine | 1760 County Road J, Wahoo, NE 68066-4152 | 2011-06-01 |
| 1912086513 | Lorance H. Newburn IIi | Family Medicine | 1760 County Road J, Wahoo, NE 68066-4152 | 2006-11-03 |
| 1386608396 | Leo L Meduna | Family Medicine | 1760 County Road J, Saunders Medical Center, Wahoo, NE 68066-4152 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
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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.