CREIGHTON UNIVERSITY (NPI# 1891974275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891974275 |
| Entity Type | Organization |
| Organization Name | CREIGHTON UNIVERSITY |
| Other Organization Name | CREIGHTON MEDICAL ASSOCIATES |
| Practice Address |
601 N 30th St Omaha NE 68131-2137 |
| Mailing Address |
2500 California Plz Omaha NE 68178-0133 |
| Practice Telephone | 4022805877 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DANIEL BURKEY (VICE PRESIDENT) |
| Authorized Official Telephone | 4022802131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 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 |
| 1871780890 | Creighton University | Surgery | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2007-10-03 |
| 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 |
601 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627036 | Blanca Lucia Marky | Psychiatry & Neurology | 601 N 30th St, Suite 5300, Omaha, NE 68131-2137 | 2005-05-24 |
| 1528503851 | Steffany J Chedel | Registered Nurse | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1205371572 | Allyson K Doerr | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1467909655 | Teresa Champion | Nurse Practitioner | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-06 |
| 1750837910 | Muhammad Adil Mumtaz | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-08-28 |
| 1730632894 | Abhishek Thandra | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-25 |
| 1265885370 | Ankit Verma | Surgery | 601 N 30th St, Cu Department of Surgery, Omaha, NE 68131-2128 | 2016-07-13 |
| 1225480650 | Danielle Flores | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-11 |
| 1649622333 | Mateo Cindric | Family Medicine | 601 N 30th St, Cu - Department of Family Medicine, Omaha, NE 68131-2128 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
| 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.