PEDIATRIC CARDIOLOGY AFFILIATES (NPI# 1922285667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922285667 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARDIOLOGY AFFILIATES |
| Practice Address |
8200 Dodge St Omaha NE 68114-4113 |
| Practice Telephone | 4029554350 |
| Practice Fax Number | 4029554356 |
| Mailing Telephone | 4029554350 |
| Mailing Fax Number | 4029554356 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JULIE M MILLER-KLINE (BILLING MANAGER) |
| Authorized Official Telephone | 4029554341 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
8200 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899067 | Nadia Abraham | Pediatrics | 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 | 2005-05-23 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1295332674 | Megan Elizabeth Ruffcorn | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-08 |
| 1275141939 | Adam Theodore Woroniecki | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-20 |
| 1609484807 | Ryan Adam Smith | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-14 |
| 1881212405 | Jessica Koraleski | Audiologist-Hearing Aid Fitter | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-09 |
| 1639796279 | Regina A. Wagner | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-30 |
| 1841817863 | Julie L. Johnsen | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-26 |
| 1932723749 | Kelsey C Spackler | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-08 |
| 1942823943 | Hilary S. King | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-05-26 |
| Find all providers in the same location | ||||
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952441917 | Jonathan Whittaker Cramer | Pediatrics | 8200 Dodge St, Pediatric Cardiology, Omaha, NE 68114-4113 | 2007-02-07 |
| 1184630782 | Jennifer Winter | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-08-01 |
| 1770535536 | Robert L Spicer | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2006-05-17 |
| 1669477493 | Scott E Fletcher | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-06-17 |
| 1508861790 | Christopher C Erickson | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-06-15 |
| 1780689976 | Carl H Gumbiner | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-06-15 |
| 1376548537 | David A Danford | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-06-15 |
| 1013912203 | John D Kugler | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982913 | Ameeta B Martin | Pediatrics | 575 S 70th St Ste 425, Lincoln, NE 68510-2471 | 2005-06-15 |
Please comment or provide details below to improve the information on PEDIATRIC CARDIOLOGY AFFILIATES.
| 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.