EMERGENCY PHYSICIANS OF EASTERN NEBRASKA, PC (NPI# 1366774416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366774416 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS OF EASTERN NEBRASKA, PC |
| Practice Address |
2500 Bellevue Center Drive Emergency Department Bellevue NE 68132 |
| Mailing Address |
4239 Farnam St Suite 326 Omaha NE 68131-2868 |
| Practice Telephone | 4027633644 |
| Mailing Telephone | 4025523377 |
| Mailing Fax Number | 4025522330 |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2010-01-31 |
| Authorized Official Name | THOMAS CHEATLE (PRESIDENT) |
| Authorized Official Telephone | 4026161083 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21078 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICAL LICENSE | 21078 | 01 |
| Street Address |
2500 BELLEVUE CENTER DRIVE EMERGENCY DEPARTMENT |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588067227 | Yusuke Namba | Student in an Organized Health Care Education/Training Program | 7070 Capitol Court Apt 872, Omaha, NE 68132 | 2014-10-08 |
| 1811262314 | Jessica Ann Stallings | Counselor | 621 N 51st St, Omaha, NE 68132 | 2012-03-15 |
| 1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1871726125 | Micaila M Ruiz | Pharmacist | 820 N Saddle Creek Road, Omaha, NE 68132 | 2009-09-02 |
| 1790929412 | Andrew Ryan Thompson | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132 | 2009-04-24 |
| 1508084450 | Adoption Links Worldwide | Counselor | 5017 Leavenworth St., Ste 1, Omaha, NE 68132 | 2007-04-23 |
| 1164596391 | John F Parra | Dentist | 5006 Dodge St, Omaha, NE 68132 | 2006-11-20 |
| 1750860219 | Geri Mcvey | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132 | 2018-08-07 |
| 1255794632 | Maureen Kathleen Feeney | Acupuncturist | 8031 W. Center Rd, Suite 225, Omaha, NE 68132 | 2016-04-01 |
| Find all providers in zip 68132 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346505245 | Daniel Deane Hiatt | Emergency Medicine | 17211 Se Cougar Mountain Dr, Bellevue, WA 98006-6005 | 2012-07-07 |
| 1104137868 | Alejandro Gonzalez Jr. | Emergency Medicine | 1035 - 116th Avenue Ne, Bellevue, WA 98004 | 2010-06-28 |
| 1902028715 | Leroy Harrison Carhart Jr. | Emergency Medicine | 1002 West Mission Avenue, Bellevue, NE 68005 | 2007-05-02 |
| 1801900501 | Puget Sound Physicians Pllc | Emergency Medicine | 1035 116th Avenue Ne, Bellevue, WA 98004 | 2006-08-18 |
| 1114030012 | Christine H Gosch | Emergency Medicine | 2500 Bellvu Med Ctr Dr, Bellevue, NE 68123-1591 | 2006-08-16 |
| 1063436350 | Lawrence Chu | Emergency Medicine | 5623 168th Pl Se, Bellevue, WA 98006-5593 | 2006-07-27 |
| 1003840612 | Stephen I Tilghman | Emergency Medicine | 15325 Se 30th Pl Ste 200, Bellevue, WA 98007-6538 | 2006-07-10 |
| 1255782538 | Weston Ross | Emergency Medicine | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2016-06-28 |
| 1992156343 | Dalton J Nelsen | Emergency Medicine | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2016-06-27 |
| 1780034488 | Miranda Mesloh | Emergency Medicine | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2016-06-14 |
| Find all providers in BELLEVUE | ||||
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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.