NEW CENTURY PHYSICIANS OF NEBRASKA LLC (NPI# 1013916600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013916600 |
| Entity Type | Organization |
| Organization Name | NEW CENTURY PHYSICIANS OF NEBRASKA LLC |
| Practice Address |
16901 Lakeside Hills Ct Omaha NE 68130-2318 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 4027178000 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194231 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | DR. STEPHEN G HOLTZCLAW (OWNER) |
| Authorized Official Telephone | 8566864316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 10041654 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DEPT OF LABOR GRP NUMBER | 203413200 | 01 |
| NE | FEDERAL BLACK LUNG | 020455400 | 01 |
| NE | 100251217-00 | 05 | |
| IA | 0717264 | 05 | |
| NE | EEOICP | 203413200 | 01 |
| NE | RRMEDICARE GRP NUMBER | CK8681 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411833 | New Century Physicians of Nebraska LLC | Emergency Medicine | 11111 S 84th St, Papillion, NE 68046-4122 | 2005-07-14 |
| Street Address |
16901 LAKESIDE HILLS CT |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600630 | Zachary Allen Labs | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2020-02-07 |
| 1922564350 | Sarah E Steffes | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2019-02-11 |
| 1306301254 | Melanie M Fehringer | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2019-02-05 |
| 1144746363 | Kassie A Lueth | Nurse Practitioner | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2017-08-18 |
| 1861932527 | Kathrine Bosch | Registered Nurse | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2017-02-28 |
| 1104285865 | Mary Hall | Physician Assistant | 16901 Lakeside Hills Ct, Attn: Hospital Medicine, Omaha, NE 68130-2318 | 2016-02-23 |
| 1508222183 | Emi M Spivey | Nurse Practitioner | 16901 Lakeside Hills Ct, Attn: Hospital Medicine Dept., Omaha, NE 68130-2318 | 2016-01-12 |
| 1467853424 | Kelli Sue Doll | Nurse Practitioner | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2014-09-09 |
| 1780091298 | Rachel Marie Fall | Specialist/Technologist | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2014-07-16 |
| 1568873206 | Melissa G Bakker | Nurse Anesthetist, Certified Registered | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1962900829 | Douglas J. Weedman, M.d., L.L.C. | Emergency Medicine | 210 S 16th St Apt 618, Omaha, NE 68102-1634 | 2018-01-25 |
| 1235659202 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 6005 N 72nd St Ste 101, Omaha, NE 68134-2300 | 2017-06-21 |
| 1417477498 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5062 S 155th St Ste 101, Omaha, NE 68137-5002 | 2017-06-21 |
| 1992225973 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 225 N Saddle Creek Rd Ste 101, Omaha, NE 68131-2228 | 2017-06-21 |
| 1366974776 | Cody Bonk | Emergency Medicine | 981150 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3522 | 2017-04-03 |
| 1265814321 | Bryan Michael Motwani | Emergency Medicine | 1705 N 49th St, Omaha, NE 68104-5043 | 2015-06-25 |
| 1972815108 | Michael Lee Beadnell | Emergency Medicine | 18710 L St, Omaha, NE 68135-3537 | 2010-07-02 |
| 1689894164 | Michael Westcott | Emergency Medicine | 9742 Ascot Dr, Omaha, NE 68114-3846 | 2007-04-26 |
| 1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
| 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.