MATERNAL FETAL MEDICINE ADVANCED FETAL IMAGING CENTER (NPI# 1346424017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346424017 |
| Entity Type | Organization |
| Organization Name | MATERNAL FETAL MEDICINE ADVANCED FETAL IMAGING CENTER |
| Practice Address |
575 S 70th St Ste 405 Lincoln NE 68510-2471 |
| Practice Telephone | 4022198005 |
| Practice Fax Number | 4022198084 |
| Mailing Telephone | 4022198005 |
| Mailing Fax Number | 4022198084 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | SEAN PATRICK KENNEY (M.D.) |
| Authorized Official Telephone | 4022198005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
19291 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025266200 | 05 |
| Street Address |
575 S 70TH ST STE 405 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233154 | Benjamin J Hung | Surgery | 575 S 70th St, Ste 310, Lincoln, NE 68510 | 2005-05-24 |
| 1467802660 | Russell Ulrich | Specialist/Technologist | 575 S 70th St, Ste #200, Lincoln, NE 68510-2471 | 2016-06-17 |
| 1831572890 | Tiffany Hansen | Nurse Practitioner | 575 S 70th St, Suite 310, Lincoln, NE 68510-2471 | 2015-07-08 |
| 1366849333 | Kearney Physician Network LLC | Nurse Anesthetist, Certified Registered | 575 S 70th St, Suite 305, Lincoln, NE 68510-2471 | 2014-11-19 |
| 1639573678 | Brian Lee Reger | Physician Assistant | 575 S 70th St, Suite 440, Lincoln, NE 68510-2471 | 2014-10-20 |
| 1407287758 | Stephanie Schuelke | Physical Therapist | 575 S 70th St, Suite 300, Lincoln, NE 68510-2471 | 2013-12-11 |
| 1326387937 | Kylee May Lindstedt | Physician Assistant | 575 S 70th St, Suite 200, Lincoln, NE 68510-2471 | 2013-02-04 |
| 1588902605 | Lisa M Pietig | Physician Assistant | 575 S 70th St, Suite 200, Lincoln, NE 68510-2471 | 2013-01-24 |
| 1851666432 | Aaron David Robinson | Otolaryngology | 575 S 70th St, Suite 440, Lincoln, NE 68510-2471 | 2012-03-15 |
| 1588940167 | Laura J Roeder | Occupational Therapist | 575 S 70th St, Suite 300, Lincoln, NE 68510-2471 | 2011-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617785 | John W Larsen Jr. | Obstetrics & Gynecology | 575 S 70th St Ste 405, Lincoln, NE 68510-2471 | 2006-02-08 |
| 1235217118 | Sean Patrick Kenney | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2006-11-01 |
| 1225002363 | Maureen Patrice Malee | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2006-02-15 |
| 1922098706 | Benjamin Donald Byers | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740591502 | Heather M Said | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198-0001 | 2010-06-27 |
| 1497982086 | Todd R. Lovgren | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2009-06-22 |
| 1700053691 | Ramzy Sami Nakad | Obstetrics & Gynecology | 983255 Nebraska Medical Ctr, Omaha, NE 68198-3255 | 2008-05-11 |
| 1235271172 | James Francis Smith Jr. | Obstetrics & Gynecology | 601 N 30th St, Suite 4700, Omaha, NE 68131-2128 | 2007-02-13 |
| 1740390947 | Andrew W Robertson | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2006-08-30 |
| 1881701522 | Michael G Levine | Obstetrics & Gynecology | 717 N 190th Plz, Suite # 2400, Elkhorn, NE 68022-3913 | 2006-08-25 |
| 1568577427 | Katherine Foley | Obstetrics & Gynecology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-08-20 |
| 1629029491 | Carl V Smith | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-15 |
| 1609826262 | Paul G Tomich | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-12 |
| 1508814104 | Amie Lynn Hollard | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198 | 2006-05-05 |
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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.