ADULT & PEDIATRIC UROLOGY PC (NPI# 1831222702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831222702 |
| Entity Type | Organization |
| Organization Name | ADULT & PEDIATRIC UROLOGY PC |
| Practice Address |
17055 Frances St Ste 102 Omaha NE 68130-4655 |
| Mailing Address |
Po Box 8577 Omaha NE 68108-0577 |
| Practice Telephone | 4023977989 |
| Practice Fax Number | 4023300258 |
| Mailing Telephone | 4023977989 |
| Mailing Fax Number | 4023978703 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUCLID J DESOUZA (CEO) |
| Authorized Official Telephone | 4023977989 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245363654 | Adult & Pediatric Urology PC | Urology | 631 N 8th St, Missouri Valley, IA 51555 | 2007-03-14 |
| 1730212614 | Adult & Pediatric Urology PC | Urology | 2206 Longo Dr, Ste 105, Bellevue, NE 68005-2977 | 2007-03-13 |
| 1003949918 | Adult & Pediatric Urology PC | Urology | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2007-03-13 |
| 1568595452 | Adult & Pediatric Urology PC | Urology | 1501 E 10th St, Atlantic, IA 50022-1936 | 2007-03-13 |
| 1437282308 | Adult & Pediatric Urology PC | Urology | 3434 W Broadway, Suite 102, Council Bluffs, IA 51501-3291 | 2007-03-13 |
| Street Address |
17055 FRANCES ST STE 102 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528165644 | Father Flanagan's Boys' Home | Clinic/Center | 17055 Frances St, Suite 102, Omaha, NE 68130-4655 | 2006-09-20 |
| 1063950848 | Elizabeth R Camp | Speech-Language Pathologist | 17055 Frances St, Suite 103, Omaha, NE 68130-4655 | 2017-02-01 |
| 1447601893 | Jennifer O'loughlin | Physical Therapist | 17055 Frances St, Suite 103, Omaha, NE 68130-4655 | 2016-06-27 |
| 1841648532 | Brooke Ann Dentlinger | Occupational Therapist | 17055 Frances St, Suite 103, Omaha, NE 68130-4655 | 2016-06-02 |
| 1518343441 | Kaitlin Beckloff | Physical Therapist | 17055 Frances St, Suite 103, Omaha, NE 68130-4655 | 2015-08-03 |
| 1073892998 | Natalie Ana Frost | Dentist | 17055 Frances St, Suite 102, Omaha, NE 68130-4655 | 2011-08-09 |
| 1013056944 | Wellspring Physical Therapy PC | Physical Therapist | 17055 Frances St, #102, Omaha, NE 68130-4655 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524640 | Jennifer Dwyer | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2014-06-23 |
| 1326301995 | Harry Jeoffrey Deeths | Urology | 402 N 97th Ct, Omaha, NE 68114-2395 | 2012-06-19 |
| 1780944652 | Hanhan Li | Urology | 4101 Woolworth Ave Ste 112, Omaha, NE 68105-1850 | 2012-05-24 |
| 1477555753 | Gernon A Longo | Urology | 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 | 2005-06-01 |
| 1174526198 | Jon J Morton | Urology | 111 S 90th St, Omaha, NE 68114-3907 | 2005-05-23 |
| 1609879733 | Euclid J. De Souza | Urology | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2005-05-23 |
| 1467076216 | Cole Bowdino | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2020-06-07 |
| 1720630775 | Houda Abdelrahman | Urology | 7710 Mercy Road, Suite 202, Cu Department of Urology, Omaha, NE 68124-2353 | 2019-07-10 |
| 1285293761 | Jordan Andrew Stegman | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2019-06-10 |
| 1881259489 | Andrew John Blazek | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2019-05-08 |
| 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.