DR. PRINCE ANTONIO HARRISON (NPI# 1972867489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972867489 |
| Entity Type | Individual |
| Full Name | DR. PRINCE ANTONIO HARRISON |
| Credential | MBBS |
| Practice Address |
8200 Dodge St Omaha NE 68114 |
| Mailing Address |
8200 Dodge St Omaha NE 68114-4113 |
| Practice Telephone | 4029555400 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
30628 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Clarkson Ave, Box 49, Brooklyn, NY 112032012 | 3472812604 |
| Street Address |
8200 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114 |
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609900323 | Children's Hospital | Pediatrics | Children's Hospital - Emergency Physicians, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-03-15 |
| 1952490112 | Debra J Tomek | Pediatrics | Children's Hospital - Emergency Department, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-10-12 |
| 1689862302 | Jennifer Lynn Wang | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2007-10-09 |
| 1023182607 | Scott S James | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-11-17 |
| 1194899799 | Duane M Jensen | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-11-17 |
| 1700967999 | Corey S Joekel | Pediatrics | 8200 Dodge Street, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-10-17 |
| 1902995335 | Linda K Matson | Pediatrics | Children's Hospital - Emergency Department, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-10-12 |
| 1073602462 | Alan G Fuss | Pediatrics | 8200 Dodge Street, Emergency Department, Omaha, NE 68114-4113 | 2006-10-12 |
| 1619066255 | David M Tolo | Pediatrics | 8200 Dodge St, Children's Hospital - Emergency Department, Omaha, NE 68114-4113 | 2006-10-12 |
| 1578513875 | Arwa K Nasir | Pediatrics | 8200 Dodge Street, Childrens Hospital - Emergency Department, Omaha, NE 68114 | 2006-05-10 |
| 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.