88 MEDICINE LLC (NPI# 1225660244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225660244 |
| Entity Type | Organization |
| Organization Name | 88 MEDICINE LLC |
| Practice Address |
17650 Wright St Ste 5 Omaha NE 68130-2800 |
| Practice Telephone | 4023345433 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | DARIN E JACKSON (PROVIDER) |
| Authorized Official Telephone | 4023345433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
17650 WRIGHT ST STE 5 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
| 1871106278 | Gs Labs | Clinical Medical Laboratory | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-08-25 |
| 1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
| 1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
| 1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
| 1902058381 | Antoinette Louise Tribulato | General Practice | 405 N 39th St, Omaha, NE 68131-2308 | 2008-10-16 |
| 1801076559 | Kay E Ticen Md | General Practice | 6818 Grover St Ste 201, Omaha, NE 68106-3632 | 2007-11-10 |
| 1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
| 1033267406 | Vijay Kumar Agarwal | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2007-01-08 |
| 1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
| 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.