NEBRASKA METHODIST HOSPITAL (NPI# 1336470558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336470558 |
| Entity Type | Organization |
| Organization Name | NEBRASKA METHODIST HOSPITAL |
| Other Organization Name | METHODIST WOMEN'S HOSPITAL |
| Practice Address |
707 N 190th Plz Elkhorn NE 68022-3974 |
| Mailing Address |
Po Box 2797 Omaha NE 68103-2797 |
| Practice Telephone | 4023544000 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2011-05-24 |
| NPI Deactivation Date | 10/07/2010 |
| NPI Reactivation Date | 2011-05-24 |
| Authorized Official Name | STEPHEN L. GOESER (PRESIDENT & CEO) |
| Authorized Official Telephone | 4023544440 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEBRASKA METHODIST HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
Hospitals |
| Other Name | Type Code |
|---|---|
| Methodist Women's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427147883 | Nebraska Methodist Hospital | General Acute Care Hospital | 8303 Dodge Street, Omaha, NE 68114 | 2006-10-12 |
| 1689602617 | Nebraska Methodist Hospital | Radiology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-06-29 |
| 1902847585 | Nebraska Methodist Hospital | Obstetrics & Gynecology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-06-08 |
| 1639110216 | Nebraska Methodist Hospital | Surgery | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-06-08 |
| 1689628372 | Nebraska Methodist Hospital | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEBRASKA METHODIST HOSPITAL, THE | 717 190th, Elkhorn, NE 68022-3913 |
| Street Address |
707 N 190TH PLZ |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934492 | Neonatal Care, PC | Pediatrics | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2005-07-05 |
| 1134726805 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2020-10-06 |
| 1265087415 | Anna K Holcomb | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022 | 2019-08-05 |
| 1073996021 | Kelli L. Pirruccello | Registered Nurse | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2015-07-08 |
| 1447652920 | Lynsie E. Jones | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2014-09-16 |
| 1790037232 | Kaitlyn Trowbridge | Physician Assistant | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2012-10-08 |
| 1598078297 | Monica N. Jackson | Registered Nurse | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-07-22 |
| 1811200512 | Julia Ann Krska | Registered Nurse | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-07-22 |
| 1699908871 | Kami D Cappello | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2009-09-03 |
| 1811100126 | Debra L Kellberg | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-05-07 |
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| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
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| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
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| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427147883 | Nebraska Methodist Hospital | General Acute Care Hospital | 8303 Dodge Street, Omaha, NE 68114 | 2006-10-12 |
Please comment or provide details below to improve the information on NEBRASKA METHODIST HOSPITAL.
| 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.