CARDIOVASCULAR SPECIALISTS PC (NPI# 1831123090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831123090 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SPECIALISTS PC |
| Other Organization Name | BERGAN CARDIOVASCULAR SPECIALISTS PC |
| Practice Address |
7500 Mercy Rd Omaha NE 68124-2319 |
| Practice Telephone | 4023985880 |
| Practice Fax Number | 4023986716 |
| Mailing Telephone | 4023985880 |
| Mailing Fax Number | 4023986716 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JOSEPH J JARZOBSKI (PRESIDENT) |
| Authorized Official Telephone | 4023985880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0282350 | 05 | |
| NE | BLUE CROSS BLUE SHIELD | 1819 | 01 |
| Other Name | Type Code |
|---|---|
| Bergan Cardiovascular Specialists PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974613 | Cardiovascular Specialists PC | Internal Medicine | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-10-05 |
| Street Address |
7500 MERCY RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728368 | Thomas W Frederickson | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2005-08-24 |
| 1356940381 | Brenna M Hobson | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-10-21 |
| 1538778246 | Dua Noor Butt | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-28 |
| 1730706185 | Stephen James Cooper | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-01 |
| 1609493527 | Meghan E Farquhar | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-26 |
| 1275158909 | Rebecca M Toomsen | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-09 |
| 1770106783 | Jennifer E Cook | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427671445 | Wesley J Kerman | Student in an Organized Health Care Education/Training Program | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427670678 | Nicholas David Tran | Surgery | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-11 |
| 1538712260 | Kirsten A Boedeker-jenkins | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1467906487 | Arif Ishaq Albulushi | Internal Medicine | 9011 Burt St, Apt 106, Omaha, NE 68114-2477 | 2016-08-08 |
| 1861503427 | Antonio P Reyes | Internal Medicine | 4239 Farnam St Ste 100, Omaha, NE 68131-2858 | 2006-08-31 |
| 1184739989 | Dennis J Esterbrooks | Internal Medicine | 2412 Cuming St, Omaha, NE 68131-1601 | 2006-08-20 |
| 1801819537 | Jacqueline O Chanlatte-garcia | Internal Medicine | 4242 Farnam St Ste 142, Omaha, NE 68131-2850 | 2006-07-25 |
| 1053361824 | Marwan R Salfity | Internal Medicine | 339 N 78th St, Omaha, NE 68114-3640 | 2006-05-11 |
| 1699736785 | Kiran S Gangahar | Internal Medicine | 10020 Nicholas St, Ste 202, Omaha, NE 68114 | 2006-03-29 |
| 1437123635 | Richard J Gumina | Internal Medicine | Emily @ 42nd St, Omaha, NE 68198-0001 | 2006-02-14 |
| 1295727725 | Muhammad Farid Khan | Internal Medicine | 8420 W Dodge Rd, Suite 105, Omaha, NE 68114-3443 | 2005-08-19 |
| 1164956504 | Navya Reddy Alugubelli | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2017-04-12 |
| 1700237385 | Arindam Sharma | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2016-06-25 |
| 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.