DEREK ALAN BURDENY (NPI# 1235208638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235208638 |
| Entity Type | Individual |
| Full Name | DEREK ALAN BURDENY |
| Credential | MD |
| Practice Address |
2808 S 143rd Plz Omaha NE 68144-5611 |
| Mailing Address |
P.o. Box 6102 Novato CA 94948-6102 |
| Practice Telephone | 4026091800 |
| Mailing Telephone | 4158843418 |
| Mailing Fax Number | 4158833406 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48895 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2777 | SD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
26116 | OK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.091331 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
95-00851 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA083773 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
SP173 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
32183 | IA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-126684 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46763 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
40054 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0C52921 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20055 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C529210 | 05 | |
| NJ | 0167266 | 05 | |
| OK | 200215370 | 05 | |
| NE | RAILROAD MEDICARE | P00457921 | 01 |
| NE | 47052578200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 Kinderkamack Rd, Oradell, NJ 076491517 | 2015991311 | |
| 1101 Van Ness Ave Fl 3, San Francisco, CA 941096919 | 4156003232 | |
| 250 Bon Air Rd, Greenbrae, CA 949041702 | 4159257301 | 4159257317 |
| 2408 E 81st St Ste 910, Tulsa, OK 741374200 | 9184775014 | |
| 347 Andrieux St, Sonoma, CA 954766811 | 7079355000 | |
| 2351 E 22nd St, Cleveland, OH 441153111 | 2133632677 |
| Street Address |
2808 S 143RD PLZ |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366270 | John Edmund Lindsey Jr. | Anesthesiology | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2006-04-19 |
| 1598391617 | Erin Bruggeman | Nurse Anesthetist, Certified Registered | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2020-03-20 |
| 1184265274 | Orthoanesthesia, PC | Nurse Anesthetist, Certified Registered | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2019-10-01 |
| 1407015779 | Mary Kathleen Hutton | Registered Nurse | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2008-06-03 |
| 1255505228 | Robert Brett Zatechka | Anesthesiology | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2008-04-21 |
| 1255530606 | California Advanced Imaging Medical Associates, Inc. | Radiology | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2007-07-16 |
| 1669690343 | Janice Jean Merritt | Physical Therapist | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2007-04-20 |
| 1851516645 | Debra Iwata Miller | Physical Therapist | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2007-04-16 |
| 1588691695 | Lynn M Grandgenett | Nurse Anesthetist, Certified Registered | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2006-06-26 |
| 1528095700 | Alan E Martens | Nurse Anesthetist, Certified Registered | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104319664 | Jackson Wyatt Boice | Radiology | S 42nd St and Emile St, Omaha, NE 68198-8500 | 2018-06-10 |
| 1396163135 | Bijal Shah | Radiology | S 42nd St & Emile St, Omaha, NE 68198-0001 | 2014-03-30 |
| 1417198995 | Guy Neil Gibson | Radiology | 905 S 110th Plz, Omaha, NE 68154-3370 | 2009-03-13 |
| 1235312257 | James F Johnson | Radiology | 9847 Bloomfield Dr, Omaha, NE 68114-2117 | 2007-12-12 |
| 1114126802 | Julie Ann Ratino | Radiology | 301 N. 60th Street, Omaha, NE 68131 | 2007-07-13 |
| 1700088028 | Matthew Mendlick | Radiology | 16116 Bedford Ave, Omaha, NE 68116-6433 | 2007-05-31 |
| 1700095452 | Roger Kent Harned | Radiology | 12624 Martha St, Omaha, NE 68144-2626 | 2007-05-21 |
| 1740492230 | Melissa Nicole Manzer | Radiology | 981045 Nebraska Medical Center, Omaha, NE 68198-1045 | 2007-05-04 |
| 1740407618 | Lyudmila M Muinov | Radiology | 42nd and Emile St, Omaha, NE 68198 | 2007-04-19 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 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.