DR. SANGEETA MUTNURI (NPI# 1962790477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962790477 |
Entity Type | Individual |
Full Name | DR. SANGEETA MUTNURI |
Credential | M.D. |
Practice Address |
7710 Mercy Rd Ste 3000 Omaha NE 68124 |
Mailing Address |
7710 Mercy Rd Ste 3000 Omaha NE 68124-2350 |
Practice Telephone | 4023438650 |
Practice Fax Number | 4023438655 |
Mailing Telephone | 4023438650 |
Mailing Fax Number | 4023438655 |
Enumeration Date | 2011-07-18 |
Last Update Date | 2019-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | BP10040899 | TX | Allopathic & Osteopathic Physicians |
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD-46570 | IA | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32122 | NE | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
6510 Memorial Dr, Texas City, TX 775914016 | 4099333337 | 4099333337 |
Street Address |
7710 MERCY RD STE 3000 |
City | OMAHA |
State | NE |
Zip Code | 68124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255303251 | Salam S Salman | Internal Medicine | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2006-02-03 |
1710592688 | Kyle W Campbell | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2020-09-09 |
1326663410 | Derek W Belt | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2020-06-15 |
1770105868 | Ashley R Schmidt | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2020-05-12 |
1275188856 | Joshua M Homme | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2019-08-09 |
1659926269 | Jenni L Sis | Audiologist | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2019-08-09 |
1699334565 | Jeana R Westover | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2019-06-13 |
1902469661 | Meagan Driesen | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2019-04-18 |
1760968341 | Alisha Ann Josephson | Nurse Practitioner | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2018-07-17 |
1881197143 | Kayla Lawton | Physician Assistant | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2018-03-13 |
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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 |
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Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1376654780 | Jerry L Fischer | Internal Medicine | 2665 Douglas St, Omaha, NE 68131-2626 | 2006-08-31 |
1831126259 | Sonali S Deshmukh | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-06-28 |
1578943593 | Felipe Sebastian Naranjo | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-04 |
1265876114 | Ryan Mullane | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198 | 2013-04-22 |
1093031981 | Scott Gregory Westphal | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2010-04-16 |
1770713257 | Mohamad Ali Alhajhusain | Internal Medicine | 7710 Mercy Rd, Ste 3000, Omaha, NE 68124-2346 | 2009-07-20 |
1902012545 | Lindsay Jayne Gage | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2007-05-14 |
1760696967 | Jennifer Ann Fillaus | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114 | 2007-05-09 |
1558583377 | Roslyn Bernstein Mannon | Internal Medicine | Emile @ 42nd Street, Omaha, NE 68198-2060 | 2007-05-02 |
1407978315 | Jay Lawrence Hawkins | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-04-04 |
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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.