ROBERT N HIBBARD (NPI# 1831121086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831121086 |
| Entity Type | Individual |
| Full Name | ROBERT N HIBBARD |
| Credential | M.D. |
| Practice Address |
1120 N 103rd Plz Ste 100 Omaha NE 68114-1119 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023915055 |
| Practice Fax Number | 4023915053 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 15753 | NE | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15753 | NE | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
15753 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47037660406 | 05 | |
| NE | 10026448100 | 05 | |
| IA | 1831121086 | 05 | |
| NE | 10026480114 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285787093 | Robert Boyd Hibbard | Emergency Medicine | 10010 Kennerly Rd, St Anthonys Medical Center Emergency Department, St Louis, MO 63128 | 2007-01-18 |
| 1720185986 | Robert Hibbard | Anesthesiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2006-09-20 |
| Street Address |
1120 N 103RD PLZ STE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881973766 | Sarah Nicole Hudson | Counselor | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2011-08-10 |
| 1356665392 | Adam Michael Kingston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2010-03-19 |
| 1699980565 | Herbert Arthur Hartman IIi | Internal Medicine | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2007-05-13 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346479706 | Anjan Talukdar | Surgery | 515 N 162nd Ave Ste 300, Omaha, NE 68118-2540 | 2009-07-07 |
| 1235325614 | Tammy Kauzlarich Ramos | Surgery | 1301 South 75th Street, Suite 230, Omaha, NE 68124 | 2007-09-19 |
| 1336254143 | Richard J. Feldhaus | Surgery | 7710 Mercy Rd Ste 420, Omaha, NE 68124-2346 | 2006-08-20 |
| 1205940186 | Marcus W. Balters | Surgery | 601 N 30th St # 3700, Omaha, NE 68131-2137 | 2006-08-18 |
| 1922020999 | Heartland Vein and Vascular Institute, P.C. | Surgery | 12702 Westport Pkwy, #101, Omaha, NE 68138-4012 | 2006-07-25 |
| 1215911813 | Scott P. Wattenhofer | Surgery | 515 N 162nd Ave, Suite 300, Omaha, NE 68118-2539 | 2005-12-06 |
| 1568816965 | Serenagroup Professional Services, P.C. | Surgery | 7710 Mercy Rd, Medical Building One Suite 130, Omaha, NE 68124-2372 | 2016-04-21 |
| 1558742486 | Jason Rhede Cook | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-16 |
| 1831329689 | Jonathan Robert Thompson | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2009-07-14 |
| 1952554214 | Jason Neal Mactaggart | Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-10-30 |
| 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.