MARK D CHOUINARD (NPI# 1487615316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487615316 |
| Entity Type | Individual |
| Full Name | MARK D CHOUINARD |
| Credential | MD |
| Practice Address |
1120 N 103rd Plz Suite 100 Omaha NE 68114-1114 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023915055 |
| Practice Fax Number | 4023915053 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18631 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK - RED OAK, IA LOCATION | 1487615316 | 01 |
| NE | 100264483-00 | 05 | |
| NE | 100264489-00 | 05 | |
| IA | 1487615316 | 05 | |
| NE | 100264481-00 | 05 |
| Street Address |
1120 N 103RD PLZ SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719791 | Frank J Mezzacappa | Internal Medicine | 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | 2005-06-09 |
| 1093199234 | Sarah M. Schmuecker | Registered Nurse | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1119 | 2015-07-17 |
| 1225418031 | Erin Renee Brummett | Nurse Practitioner | 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | 2015-06-05 |
| 1093002255 | Amy Lynn Swerczek | Nurse Practitioner | 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | 2011-07-07 |
| 1710125240 | Kimberly A Kreikemeier | Physician Assistant | 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | 2009-01-21 |
| 1497969760 | Matthew P Latacha | Internal Medicine | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1114 | 2007-05-09 |
| 1285716423 | Robert Emmet Wear IIi | Internal Medicine | 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | 2006-10-19 |
| 1124079819 | Edmund O Fiksinski | Internal Medicine | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1114 | 2006-05-15 |
| 1831157213 | John S Henry | Internal Medicine | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1114 | 2006-05-03 |
| 1831157825 | Admassu Y Hailu | Internal Medicine | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1114 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467906487 | Arif Ishaq Albulushi | Internal Medicine | 9011 Burt St, Apt 106, Omaha, NE 68114-2477 | 2016-08-08 |
| 1861503427 | Antonio P Reyes | Internal Medicine | 4239 Farnam St Ste 100, Omaha, NE 68131-2858 | 2006-08-31 |
| 1184739989 | Dennis J Esterbrooks | Internal Medicine | 2412 Cuming St, Omaha, NE 68131-1601 | 2006-08-20 |
| 1801819537 | Jacqueline O Chanlatte-garcia | Internal Medicine | 4242 Farnam St Ste 142, Omaha, NE 68131-2850 | 2006-07-25 |
| 1053361824 | Marwan R Salfity | Internal Medicine | 339 N 78th St, Omaha, NE 68114-3640 | 2006-05-11 |
| 1699736785 | Kiran S Gangahar | Internal Medicine | 10020 Nicholas St, Ste 202, Omaha, NE 68114 | 2006-03-29 |
| 1437123635 | Richard J Gumina | Internal Medicine | Emily @ 42nd St, Omaha, NE 68198-0001 | 2006-02-14 |
| 1295727725 | Muhammad Farid Khan | Internal Medicine | 8420 W Dodge Rd, Suite 105, Omaha, NE 68114-3443 | 2005-08-19 |
| 1164956504 | Navya Reddy Alugubelli | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2017-04-12 |
| 1700237385 | Arindam Sharma | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2016-06-25 |
| 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.