DR. JAYESH C THAKKER (NPI# 1780634352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780634352 |
| Entity Type | Individual |
| Full Name | DR. JAYESH C THAKKER |
| Credential | MD |
| Practice Address |
8200 Dodge St Childrens Hospital - Critical Care Omaha NE 68114-4113 |
| Mailing Address |
8200 Dodge St Childrens Hospital Omaha NE 68114-4113 |
| Practice Telephone | 4029554229 |
| Practice Fax Number | 4029553262 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
20788 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MIDLANDS CHOICE | 9182 | 01 | |
| IA | 0514885 | 05 | |
| NE | BCBS | 03852 | 01 |
| Street Address |
8200 DODGE ST CHILDRENS HOSPITAL - CRITICAL CARE |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899067 | Nadia Abraham | Pediatrics | 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 | 2005-05-23 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1295332674 | Megan Elizabeth Ruffcorn | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-08 |
| 1275141939 | Adam Theodore Woroniecki | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-20 |
| 1609484807 | Ryan Adam Smith | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-14 |
| 1881212405 | Jessica Koraleski | Audiologist-Hearing Aid Fitter | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-09 |
| 1639796279 | Regina A. Wagner | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-30 |
| 1841817863 | Julie L. Johnsen | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-26 |
| 1932723749 | Kelsey C Spackler | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-08 |
| 1942823943 | Hilary S. King | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720478969 | Jeffrey D Salomon | Pediatrics | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-01-26 |
| 1104269653 | Melissa Lise Downsbrough Cullimore | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2013-04-15 |
| 1518284082 | Alison Beth Miller | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2010-04-23 |
| 1518194943 | Sidharth Mahapatra | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2009-06-11 |
| 1790992121 | Laura Ann Ortmann | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2007-05-16 |
| 1881738243 | Kelly Dean Kadlec | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2007-02-19 |
| 1568486371 | Robert N. Chaplin | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2006-07-26 |
| 1871515452 | Bridget M Norton | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2006-07-24 |
| 1265484885 | Edward J Truemper | Pediatrics | 8200 Dodge St, Childrens Hospital - Critical Care, Omaha, NE 68114-4113 | 2006-05-16 |
| 1942251087 | George E Reynolds | Pediatrics | 8200 Dodge St, Childrens Hospital - Critical Care, Omaha, NE 68114-4113 | 2006-05-13 |
| 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.