ALEGENT CREIGHTON HEALTH (NPI# 1033288923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033288923 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON HEALTH |
| Other Organization Name | CHI HEALTH |
| Practice Address |
12809 W Dodge Road Omaha NE 68154-2155 |
| Practice Telephone | 4023986255 |
| Practice Fax Number | 4028298513 |
| Mailing Telephone | 4023986255 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | KEITH JANKUSKI (COO) |
| Authorized Official Telephone | 4023434409 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHI NEBRASKA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHI Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1104251628 | Alegent Creighton Health | Radiology | 17201 Wright St Ste 100, Omaha, NE 68130-2042 | 2013-09-04 |
| 1952660615 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8248 S 96th St Ste 101, La Vista, NE 68128-3126 | 2012-05-15 |
| 1427317205 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 | 2012-05-14 |
| 1164553954 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 17201 Wright St, Suite 202, Omaha, NE 68130-2042 | 2007-03-07 |
| 1083700959 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 | 2006-10-05 |
| 1760578652 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 | 2006-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1376910448 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 4220 L St, Omaha, NE 68107-1048 | 2015-08-25 |
| 1427453042 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16101 Evans St., Suite #101, Omaha, NE 68116-2020 | 2014-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON HEALTH | 7261 Mercy Rd, Omaha, NE 68124-2311 |
| Washington State Corporations | ALEGENT CREIGHTON HEALTH | 12809 W Dodge Rd, Omaha, NE 68154 |
| Street Address |
12809 W DODGE ROAD |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518227859 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-21 |
| 1154680700 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851860241 | Jennifer L Clark | Hospitalist | Emile @ 42nd St, Omaha, NE 68198-0001 | 2018-11-15 |
| 1225559057 | Alec Christine Hildenbrand | Hospitalist | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2017-07-01 |
| 1760902977 | Molly Hiatt | Hospitalist | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2017-06-20 |
| 1881132256 | Kakish Md Senior Care, PC | Hospitalist | 17030 Lakeside Hills Plz, Suite 130, Omaha, NE 68130-2396 | 2017-02-06 |
| 1326593021 | Mohammad Selim | Hospitalist | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2016-08-23 |
| 1013390723 | Venkata Sandeep Koripalli | Hospitalist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2015-06-30 |
| 1003293697 | Wilbur Knowlton Freeman IIi | Hospitalist | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2015-05-03 |
| 1780078097 | Harmeet Singh Mashiana | Hospitalist | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2015-03-25 |
| 1811331341 | Muhammad Zubair Ashfaq | Hospitalist | 7500 Mercy Rd, Omaha, NE 68124 | 2013-04-26 |
| 1194005231 | Vinit Patil | Hospitalist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2011-08-21 |
| 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.