RACHELLE LOU NARIDZE (NPI# 1700267978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700267978 |
| Entity Type | Individual |
| Full Name | RACHELLE LOU NARIDZE |
| Credential | M.D. |
| Practice Address |
16120 W Dodge Rd Omaha NE 68118 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023540610 |
| Practice Fax Number | 4023540611 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 21805 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025715000 | 05 | |
| NE | 47068731795 | 05 | |
| NE | 10026480119 | 05 | |
| IA | 1700267978 | 05 | |
| NE | 10026480112 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16120 W Dodge Rd, Omaha, NE 68118 | 4023540610 | 4023540611 |
| Street Address |
16120 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176506 | Michelle L Caffey | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2005-07-06 |
| 1760028153 | Md West One, PC | Neurological Surgery | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2019-11-21 |
| 1194226787 | Ryan M Houser | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2018-02-28 |
| 1982122917 | Madonna L Klein | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2017-08-30 |
| 1104368828 | Rachel L Anderson | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-11-11 |
| 1821440777 | Lauren Shoemaker | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-07-04 |
| 1093166050 | Michael Klug | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-06-30 |
| 1154775542 | Dianne Gillaspie | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-04-21 |
| 1871951327 | Mindy Keane | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-01-29 |
| 1417388596 | Patricia Lien | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2013-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 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 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1528217395 | Justin Gerhard Madson | Dermatology | 4242 Farnam St., Suite 360, Omaha, NE 68131-2850 | 2008-09-16 |
| 1457551889 | Dermatology Specialists of Omaha LLC | Dermatology | 909 N 96th St Ste 201, Omaha, NE 68114-2508 | 2007-07-24 |
| 1508064833 | Robert J. Fonda, M.d., P.C. | Dermatology | 8601 W. Dodge Rd., Suite 118, Omaha, NE 68114-3457 | 2007-07-09 |
| 1740494806 | Tricia L Hultgren | Dermatology | 909 N 96 St, Suite 201, Omaha, NE 68114-2508 | 2007-05-09 |
| 1053461137 | Center of Dermatology, PC | Dermatology | 10110 Nicholas Street, Suite #103, Omaha, NE 68114-2185 | 2007-01-11 |
| 1316041734 | James M. Shehan | Dermatology | 12910 Pierce St Ste 120, Omaha, NE 68144-1106 | 2006-09-08 |
| 1801906326 | Christopher J Huerter | Dermatology | 601 N 30th St Ste 5700, Omaha, NE 68131-2137 | 2006-08-30 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| 1568436210 | Robert J. Fonda | Dermatology | 106 S 88th St, Omaha, NE 68114-4020 | 2006-02-16 |
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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.