DR. JOSEPH PATRICK BAST JR. (NPI# 1124287131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124287131 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PATRICK BAST JR. |
| Credential | M.D. |
| Practice Address |
1111 N 102nd Ct Ste 200 Omaha NE 68114-2194 |
| Practice Telephone | 4025022747 |
| Practice Fax Number | 4025022387 |
| Mailing Telephone | 4025022747 |
| Mailing Fax Number | 4025022387 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.116846 | IL | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
38256 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25014 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47078164513 | 05 | |
| IA | RR MEDICARE | P00727910 | 01 |
| NE | BCBS NE | 04031 | 01 |
| NE | SHARE | 31-00480 | 01 |
| NE | SHARE | 31-00481 | 01 |
| NE | RR MEDICARE | P00740934 | 01 |
| NE | 47078164500 | 05 |
| Street Address |
1111 N 102ND CT STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831126259 | Sonali S Deshmukh | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-06-28 |
| 1710472931 | Roxanne P Kardell | Nurse Practitioner | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2018-06-29 |
| 1366981169 | Katelyn Evans | Physician Assistant | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2017-02-14 |
| 1982833554 | Judd P Bauer | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2009-07-04 |
| 1134305014 | Peter N. Piperis, Md PC | Nurse Anesthetist, Certified Registered | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2008-01-10 |
| 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 |
| 1053407064 | Omaha Nephrology PC | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-10-05 |
| 1609969468 | Richard J Lund | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-10-02 |
| 1356441836 | David Charles Goldner | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-09-24 |
| 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 | 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 |
| 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.