THERESA HATCHER (NPI# 1376590547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376590547 |
| Entity Type | Individual |
| Full Name | THERESA HATCHER |
| Credential | DO |
| Practice Address |
6901 N 72nd St Omaha NE 68122-1799 |
| Mailing Address |
Po Box 31058 Omaha NE 68131-0058 |
| Practice Telephone | 4025722225 |
| Mailing Telephone | 8668987142 |
| Mailing Fax Number | 6169759824 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
117 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 07021 | 01 | |
| RR MCR | 930076005 | 01 | |
| NE | 1376590547 | 05 |
| Street Address |
6901 N 72ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641686 | Paul L. Price | Pharmacist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2005-06-30 |
| 1205436896 | Jennifer S Bostick | Counselor | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-11-01 |
| 1861028847 | Ryan Pirraglia | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-03-21 |
| 1417507260 | Stacey M Samuel | Physician Assistant | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-13 |
| 1861041238 | Jonathan Robbins | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-09 |
| 1114408531 | Nicole M Anthony | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2018-08-23 |
| 1144746322 | Nicole M Privitera | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2017-08-18 |
| 1588196299 | Felina Brown | Nurse Practitioner | 6901 N 72nd St, Attn: Hospital Medicine Dept., Omaha, NE 68122-1709 | 2017-03-31 |
| 1851846380 | Jacqueline Jaramillo | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-25 |
| 1942755954 | Date Amouzou | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1649227869 | Scott Vosik | Emergency Medicine | 6901 N 72nd Street, Omaha, NE 68122-1799 | 2006-05-31 |
| 1346214020 | Brent L. Scott | Emergency Medicine | 8630 F Street, Omaha, NE 68127 | 2006-02-17 |
| 1598983793 | Charles Schmier | Emergency Medicine | 981150 Nebraska Medical Ctr, Omaha, NE 68198-1150 | 2007-04-23 |
| 1760570972 | John Russell Gardner | Emergency Medicine | 601 N 30th St, Omaha, NE 68131-2137 | 2006-10-11 |
| 1851336507 | Arthur Prine | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122 | 2006-06-17 |
| 1649210550 | Joseph F Martinak | Emergency Medicine | 140 S 77th St, Workfit, Omaha, NE 66114 | 2006-06-08 |
| 1558318725 | Shun C Kwong | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122-1799 | 2006-05-31 |
| 1689630881 | Bruce Holcomb | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-04-25 |
| 1053385815 | William G Gossman | Emergency Medicine | 601 N 30th St, Omaha, NE 68131-2137 | 2006-02-16 |
| 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.