DR. DWAINE J PEETZ JR. (NPI# 1528080348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080348 |
| Entity Type | Individual |
| Full Name | DR. DWAINE J PEETZ JR. |
| Credential | M.D. |
| Practice Address |
7710 Mercy Rd Suite 332 Omaha NE 68124-2372 |
| Practice Telephone | 4028275500 |
| Practice Fax Number | 4028276601 |
| Mailing Telephone | 4028275500 |
| Mailing Fax Number | 4028276601 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13128 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025307000 | 05 |
| Street Address |
7710 MERCY RD SUITE 332 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555753 | Gernon A Longo | Urology | 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 | 2005-06-01 |
| 1396342739 | Ashley N Klepinger | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-10-08 |
| 1437768769 | Faith Opeyemi Abodunrin | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-07-22 |
| 1841817087 | Abdelrazeg Abubaker A Houssein | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2020-07-04 |
| 1538780382 | Amarjyot Kaur Randhawa | Student in an Organized Health Care Education/Training Program | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-05-04 |
| 1467004374 | Moeed Ahmed | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-07-10 |
| 1609434976 | Erica F Fritz | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-06-03 |
| 1053880732 | Beth Mckelvey | Pharmacist | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-11-25 |
| 1205314036 | Abdallah Qasim | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124 | 2018-08-02 |
| 1649766130 | Taylor Soon-sutton | Urology | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245742451 | Marian Urban | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile @ 42nd St, Omaha, NE 68198-0001 | 2017-10-27 |
| 1487175261 | Jill R Nohl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile 42nd St, Omaha, NE 68198-0001 | 2017-06-30 |
| 1275832537 | David Benjamin Berkheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S. 48th St, Omaha, NE 68198 | 2011-03-24 |
| 1356665392 | Adam Michael Kingston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2010-03-19 |
| 1942531033 | Heart Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4242 Farnam St, #355, Omaha, NE 68131-2806 | 2010-01-29 |
| 1841456498 | Helenmari L Merritt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile At 42nd St, Omaha, NE 68198-0001 | 2008-08-04 |
| 1588869598 | Karin Trujillo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S 45th St, Omaha, NE 68198-4030 | 2007-06-19 |
| 1194929976 | Aleem Siddique | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-06-13 |
| 1710999024 | Michael J Moulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-08-13 |
| 1760402507 | Omaha Cardiac Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7710 Mercy Rd, Suite 332, Omaha, NE 68124-2372 | 2006-07-21 |
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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.