NEBRASKA SPINE HOSPITAL, LLC (NPI# 1215404165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215404165 |
| Entity Type | Organization |
| Organization Name | NEBRASKA SPINE HOSPITAL, LLC |
| Practice Address |
6901 N 72nd St Ste 2300 Omaha NE 68122-1709 |
| Practice Telephone | 4055723000 |
| Practice Fax Number | 4025722193 |
| Mailing Telephone | 4055723000 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | CAROLYN RIDENOUR (DIRECTOR, BUSINESS OPERATIONS) |
| Authorized Official Telephone | 4025723689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025971600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649595448 | Nebraska Spine Hospital, LLC | Special Hospital | 6901 N 72nd St, 20300, Omaha, NE 68122-1709 | 2010-04-05 |
| Street Address |
6901 N 72ND ST STE 2300 |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013122571 | Midwest Surgical Hospital, L.L.C. | Special Hospital | 7915 Farnam Dr., Omaha, NE 68114-4504 | 2007-05-10 |
| 1356345318 | Nebraska Orthopaedic Hospital. LLC | Special Hospital | 2808 South 143rd Plaza, Omaha, NE 68144-5611 | 2005-06-08 |
| 1649595448 | Nebraska Spine Hospital, LLC | Special Hospital | 6901 N 72nd St, 20300, Omaha, NE 68122-1709 | 2010-04-05 |
| 1073749172 | Omaha Heart Hospital LLC | Special Hospital | 8552 Cass St, Suite 250, Omaha, NE 68114-3570 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849005 | Lincoln Surgery Center LLC | Special Hospital | 1710 S 70th St, Lincoln, NE 68506-1676 | 2005-05-27 |
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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.