ALEGENT CREIGHTON CLINIC (NPI# 1285082917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285082917 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON CLINIC |
| Other Organization Name | CHI HEALTH CLINIC |
| Practice Address |
1413 S Washington St Ste 200 Papillion NE 68046-4165 |
| Mailing Address |
7261 Mercy Rd Attn: Clinic Credentialing Omaha NE 68124-2311 |
| Practice Telephone | 4027170820 |
| Practice Fax Number | 4027170830 |
| Mailing Telephone | 4023986255 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | KEITH JANKUSKI (COO) |
| Authorized Official Telephone | 4023434374 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHI NEBRASKA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NE | Podiatric Medicine & Surgery Service Providers | |
| Y | 207X00000X | Orthopaedic Surgery | NE | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHI HEALTH CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588012397 | Alegent Creighton Clinic | Podiatrist | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2016-06-02 |
| 1518227859 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-21 |
| 1699035931 | Alegent Creighton Clinic | Family Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1912267238 | Alegent Creighton Clinic | Clinical Medical Laboratory | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1154680700 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-16 |
| 1225332430 | Alegent Creighton Clinic | Clinic/Center | 1203 S Locust St, Glenwood, IA 51534-1872 | 2011-01-03 |
| 1598811069 | Alegent Creighton Clinic | Internal Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2007-01-26 |
| 1134283013 | Alegent Creighton Clinic | Obstetrics & Gynecology | 800 Mercy Dr, Suite 210, Council Bluffs, IA 51503-3128 | 2006-12-21 |
| 1548287907 | Alegent Creighton Clinic | Family Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2006-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON CLINIC | 12809 W Dodge Rd, Omaha, NE 68154-2155 |
| Iowa Business Entities | ALEGENT CREIGHTON CLINIC | 12809 West Dodge Road, Omaha, NE 68154 |
| Street Address |
1413 S WASHINGTON ST STE 200 |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666950 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 1413 S Washington St, Papillion, NE 68046-4178 | 2005-08-22 |
| 1366736688 | Alicia Blair Roeder | Counselor | 1413 S Washington St, Papillion, NE 68046-4165 | 2011-06-03 |
| 1285934661 | Nancy Joanne Faure | Counselor | 1413 S Washington St, Suite 300, Papillion, NE 68046-4165 | 2010-11-01 |
| 1578872461 | Kvc Behavioral Healthcare Nebraska, Inc | Community/Behavioral Health | 1413 S Washington St, Papillion, NE 68046-4165 | 2010-09-27 |
| 1205144565 | Daniel James O'neill | Counselor | 1413 S Washington St, Suite 300, Papillion, NE 68046-4165 | 2010-09-21 |
| 1730239864 | Kohlls Pharmacy & Homecare Inc. | Pharmacy | 1413 S Washington St, Papillion, NE 68046-4178 | 2007-01-11 |
| 1629159553 | Sarpy County Ob/gyn, PC | Clinic/Center | 1413 S Washington St, Suite 270, Papillion, NE 68046-4178 | 2006-10-18 |
| 1407873094 | Sean Matthew Mcfadden | Obstetrics & Gynecology | 1413 S Washington St, Suite 270, Papillion, NE 68046-4178 | 2006-07-17 |
| 1649203753 | Kay Christine Thatcher | Obstetrics & Gynecology | 1413 S Washington St, Suite 270, Papillion, NE 68046-4178 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164861449 | Shawn R Brandenburg | Orthopaedic Surgery | 4508 38th Street, Suite 133, Columbus, NE 68601-1668 | 2013-06-19 |
| 1295931566 | John Allworth Albers | Orthopaedic Surgery | 3139 Briarwood Blvd, Grand Island, NE 68801-7224 | 2007-06-25 |
| 1285836049 | Daniel Firestone | Orthopaedic Surgery | 2727 S 144th St Ste 142, Omaha, NE 68144-5225 | 2007-06-04 |
| 1356564991 | Heartland Orthopaedic and Sports Medicine Clinic LLC | Orthopaedic Surgery | 2740 N Clarkson Suite 100, Fremont, NE 68025-7716 | 2007-04-11 |
| 1740333608 | Midwest Orthopedics PC | Orthopaedic Surgery | 6829 N 72 St, Suite 7500, Omaha, NE 68122-1790 | 2007-01-22 |
| 1598855298 | Dennis Patrick Mcgowan | Orthopaedic Surgery | 1215 1st Ave, Kearney, NE 68847-6825 | 2006-10-13 |
| 1659476000 | Bainbridge Orthopaedic Clinic | Orthopaedic Surgery | 820 Alpha St, Grand Island, NE 68803 | 2006-09-13 |
| 1619086345 | Timothy J Friedlein | Orthopaedic Surgery | 2 W 42nd St Ste 120, Scottsbluff, NE 69361-4669 | 2006-08-29 |
| 1255347456 | Randall D Neumann | Orthopaedic Surgery | 2725 South 144th St, Suite 212, Omaha, NE 68144 | 2006-07-31 |
| 1023031036 | Thomas J Connolly | Orthopaedic Surgery | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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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.