DR. JANE M. CARNAZZO (NPI# 1093811069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093811069 |
| Entity Type | Individual |
| Full Name | DR. JANE M. CARNAZZO |
| Credential | M.D. |
| Practice Address |
4224 S 50th St Omaha NE 68117-1332 |
| Mailing Address |
8401 W Dodge Rd Suite 280 Omaha NE 68114-3451 |
| Practice Telephone | 4029557474 |
| Practice Fax Number | 4029557476 |
| Mailing Telephone | 4029556810 |
| Mailing Fax Number | 4029556880 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 17583 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47068937238 | 05 | |
| NE | MIDLANDS CHOICE | 654 | 01 |
| IA | 950469 | 05 | |
| NE | BCBS | 31404 | 01 |
| IA | BCBS | 93491 | 01 |
| Street Address |
4224 S 50TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68117-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003912080 | Karen D. Williams | Pediatrics | 4224 S 50th St, Omaha, NE 68117-1332 | 2006-09-16 |
| 1417517996 | Juan Carlos Rivas | Nurse Practitioner | 4224 S 50th St, Omaha, NE 68117-1332 | 2019-06-18 |
| 1972729838 | Michelle Mogenson | Pediatrics | 4224 S 50th St, Omaha, NE 68117-1332 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869208 | Ricky Lee Eppenbaugh | Counselor | 5115 F St., Omaha, NE 68117 | 2007-01-23 |
| 1538210232 | Mark Edward Ward | Counselor | 5115 F St, Omaha, NE 68117 | 2007-01-16 |
| 1265591325 | Heartland Family Service | Clinic/Center | 7110 F Street, Omaha, NE 68117 | 2006-12-06 |
| 1396814182 | Parra Family Dentistry PC | Dentist | 5050 L Street, Omaha, NE 68117 | 2006-11-07 |
| 1104888775 | Richard G Runge | Pathology | 4955 F Street, Omaha, NE 68117 | 2006-04-06 |
| 1972583102 | Edward Paul Laine | Pathology | 4840 F St, Omaha, NE 68117 | 2006-01-23 |
| 1114914314 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 5362 F St, Omaha, NE 68117 | 2005-10-03 |
| 1306838461 | Barbara Anne Anderson | Counselor | 7110 F St, Heartland Family Service, Omaha, NE 68117 | 2005-08-16 |
| 1861931735 | Daniel James Wynn I | Counselor | 5115 F Street, Omaha, NE 68117 | 2017-02-13 |
| 1497201743 | Nicholas Pojar | Counselor | 5115 F Street, Omaha, NE 68117 | 2016-08-28 |
| Find all providers in zip 68117 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| 1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
| 1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
| 1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
| 1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
| 1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
| 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.