CREIGHTON UNIVERSITY (NPI# 1871780890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871780890 |
| Entity Type | Organization |
| Organization Name | CREIGHTON UNIVERSITY |
| Other Organization Name | CREIGHTON MEDICAL ASSOCIATES |
| Practice Address |
800 Mercy Dr Council Bluffs IA 51503-3128 |
| Mailing Address |
Po Box 2159 Omaha NE 68103-2159 |
| Practice Telephone | 7123285350 |
| Mailing Telephone | 4022805877 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | ROBERT J GLOW (CEO) |
| Authorized Official Telephone | 4022801133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Creighton Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235406059 | Creighton University | Occupational Therapist | 17055 Frances St Ste 103, Omaha, NE 68130-4655 | 2011-11-22 |
| 1760527683 | Creighton University | Clinical Medical Laboratory | 651 N 27th St, Criss II, Omaha, NE 68178-0023 | 2007-02-20 |
| 1477547347 | Creighton University | Durable Medical Equipment & Medical Supplies | 2412 Cuming St Ste 201, Cumc Clinic Pharmacy, Omaha, NE 68131-1602 | 2005-09-07 |
| 1780172304 | Creighton University | Physical Therapist | 17055 Frances St Ste 100, Omaha, NE 68130-4655 | 2018-04-30 |
| 1225312499 | Creighton University | Clinic/Center | 2500 California Plz, Omaha, NE 68178-0133 | 2011-10-05 |
| 1558537274 | Creighton University | Family Medicine | 2500 California Plz, Omaha, NE 68178-0133 | 2008-05-02 |
| 1891974275 | Creighton University | Internal Medicine | 601 N 30th St, Omaha, NE 68131-2137 | 2007-11-01 |
| 1417157116 | Creighton University | Durable Medical Equipment & Medical Supplies | 3006 Webster St, Omaha, NE 68131-2027 | 2007-07-20 |
| 1184753907 | Creighton University | Dentist | 2802 Webster St, Omaha, NE 68178-0003 | 2007-03-05 |
| 1043349087 | Creighton University | Dentist | 2500 California Plz, School of Dentistry, Omaha, NE 68178-0003 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CREIGHTON UNIVERSITY | 2500 California Plaza, Omaha, Nebraska 68178 |
| System for Award Management (SAM) Entities | CREIGHTON UNIVERSITY | 2500 California Plaza, Omaha, NE 68178-0002 |
| Indiana Business Entities | CREIGHTON UNIVERSITY | 2500 California Plaza, Omaha, NE 68178 |
| Washington State Corporations | CREIGHTON UNIVERSITY | 2500 California Plaza, Omaha, NE 68178 |
| Massachusetts Corporations | CREIGHTON UNIVERSITY | 2500 California Plaza, Omaha, NE 68178 |
| Street Address |
800 MERCY DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1104436575 | Benjamin Denich | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2020-07-31 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1639687114 | Chi Health Clinic Physician Enterprise-anesthesia LLC | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-18 |
| 1215445077 | Melissa Kay Klutts | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-15 |
| 1699227892 | Ashley M Manhart | Registered Nurse | 800 Mercy Dr, Attn: Diabetic Education, Council Bluffs, IA 51503-3128 | 2016-11-04 |
| 1447616313 | Juanita Daisy Alvarez-hall | Registered Nurse | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2016-01-07 |
| 1932582848 | Nicholas Sakis | Hospitalist | 800 Mercy Dr, Council Bluffs, IA 51503 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1497956775 | Loess Hills Orthopedics | Surgery | 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503-4658 | 2007-05-31 |
| 1144375221 | Gregory Vincent Stanislav | Surgery | 933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 | 2007-01-25 |
| 1518024520 | David Mortensen | Surgery | 800 Mercy Dr Ste 220, Council Bluffs, IA 51503-3128 | 2007-01-02 |
| 1700878220 | Michael Zlomke | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1972620912 | Caliste Iv Hsu | Surgery | 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4619 | 2007-03-23 |
| 1174631261 | Ardith A Ryberg | Surgery | 801 Harmony St, Suite 408, Council Bluffs, IA 51503-3106 | 2006-08-28 |
| 1467569848 | Alegent Health Clinic | Surgery | 800 Mercy Dr, Suite 220, Council Bluffs, IA 51503-3128 | 2006-08-23 |
| 1508858028 | Patrick Ahrens | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1588656003 | Stacey Elizabeth Burmeister | Surgery | 201 Ridge St, Suite 206, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798810 | Abhinav Seth | Surgery | 200 Hawkins Dr Dept of Organ Transplant Center, Iowa City, IA 52242-1009 | 2020-07-24 |
| 1073137485 | Jeremy Chang | Surgery | 200 Hawkins Dr Dept of Surgery, Iowa City, IA 52242-1009 | 2020-06-01 |
| 1013579077 | Apoorve Nayyar | Surgery | 200 Hawkins Dr # Surgery, Iowa City, IA 52242-1009 | 2019-06-30 |
| 1093207268 | Rafael Alejandro Ramos Vecchio | Surgery | 200 Hawkins Dr Dept Surgery, Iowa City, IA 52242-1009 | 2018-06-04 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1609304336 | Catherine Tran | Surgery | 200 Hawkins Dr Dept Gensurg, Iowa City, IA 52242-1009 | 2017-05-25 |
| 1891112579 | Isaac Hinton | Surgery | 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722-1644 | 2014-03-19 |
| 1215376298 | Accelecare Wound Professionals LLC | Surgery | 4225 Fleur Dr # 190, Des Moines, IA 50321-2325 | 2013-06-23 |
| 1952749111 | Abhishek Krishna Kashyap | Surgery | Department of Surgery, 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1063858553 | Phillip Gabriel Bailey | Surgery | 1515 Delhi St Ste 200, Dubuque, IA 52001-6320 | 2013-05-11 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.