COMPLETE ENDOCRINOLOGY, LLC (NPI# 1720328081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720328081 |
| Entity Type | Organization |
| Organization Name | COMPLETE ENDOCRINOLOGY, LLC |
| Practice Address |
2200 S 40th St Ste 102 Lincoln NE 68506-2424 |
| Practice Telephone | 4024050500 |
| Practice Fax Number | 4024050505 |
| Mailing Telephone | 4024050500 |
| Mailing Fax Number | 4024050505 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | SHANNON E WAKELEY (PHYSICIAN) |
| Authorized Official Telephone | 4022069104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25490 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1720328081 | 01 | |
| NE | CLIA | 28D2054224 | 01 |
| DEA | FW1489346 | 01 | |
| NE | RAILROAD MEDICARE | P01189738 | 01 |
| Street Address |
2200 S 40TH ST STE 102 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380120 | Aaron Jay Ward | Internal Medicine | 2200 S 40th St Ste 102, Lincoln, NE 68506-2424 | 2007-01-11 |
| 1457981599 | Dylan Oatman | Physician Assistant | 2200 S 40th St Ste 102, Lincoln, NE 68506-2424 | 2020-01-16 |
| 1740677608 | Madeline Jones-ryan | Internal Medicine | 2200 S 40th St Ste 102, Lincoln, NE 68506-2424 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154347441 | Jalal Nafach | Internal Medicine | 7555 S 57th St, Suite 2, Lincoln, NE 68516-6663 | 2006-07-14 |
| 1841216124 | Endocrine Consultants of Nebraska | Internal Medicine | 2355 Superior St Ste 101, Lincoln, NE 68521-4139 | 2006-07-13 |
| 1740677608 | Madeline Jones-ryan | Internal Medicine | 2200 S 40th St Ste 102, Lincoln, NE 68506-2424 | 2015-04-17 |
| 1457533218 | Lincoln Endocrinology, LLC | Internal Medicine | 7555 S 57th St, Suite 2, Lincoln, NE 68516-6663 | 2007-12-03 |
| 1679692750 | Kara Marie Meinke Baehr | Internal Medicine | 8207 Northwoods Dr, Ste 100, Lincoln, NE 68505-2093 | 2007-03-28 |
| 1942350905 | Shannon Elaine Wakeley | Internal Medicine | 1500 S 48th St, Suite 510, Lincoln, NE 68506-1276 | 2007-01-11 |
| 1104934652 | Endocrine Treatment Centers, Inc. | Internal Medicine | 2 Wake Robin Rd, Suite 207, Lincoln, RI 02865-4295 | 2006-08-25 |
| 1770594947 | Michael David Hein | Internal Medicine | 2 Wake Robin Rd, Suite 207, Lincoln, RI 02865-4295 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346695467 | Emily Silverman | Internal Medicine | 984120 Nebraska Medical Center, Omaha, NE 68198-4120 | 2016-04-26 |
| 1275967051 | Rose Salter Medical Research Foundation | Internal Medicine | 601 N. 30th St., Suite 6715, Omaha, NE 68131-2137 | 2013-08-28 |
| 1215376363 | Andrea George | Internal Medicine | Chi Health Endocrinology, 2412 Cuming St., Omaha, NE 68131 | 2013-06-21 |
| 1972712750 | Sudah Shaheb | Internal Medicine | 100 Indian Drive, Macy, NE 68039 | 2007-05-21 |
| 1710023866 | Alain Taylon | Internal Medicine | 7710 Mercy Rd Ste 426, Omaha, NE 68124-2323 | 2007-01-29 |
| 1174634059 | Diabetes & Endocrine Associates, P.C. | Internal Medicine | 7831 Chicago Ct, Omaha, NE 68114-3654 | 2006-08-31 |
| 1275644833 | Robert R Recker | Internal Medicine | 601 N 30th St Ste 4820, Omaha, NE 68131-2137 | 2006-08-31 |
| 1184733966 | J. Christopher Gallagher | Internal Medicine | 601 N 30th St Ste 6712, Omaha, NE 68131-2137 | 2006-08-29 |
| 1558476440 | Andjela T. Drincic | Internal Medicine | 119 N 51st St Ste 100, Omaha, NE 68132-2867 | 2006-08-20 |
| 1225142367 | Robert J. Anderson | Internal Medicine | 601 N 30th St Ste 6715, Omaha, NE 68131-2137 | 2006-08-18 |
| 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.