DOUGLAS FRANCIS NIEMANN (NPI# 1619016409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619016409 |
| Entity Type | Individual |
| Full Name | DOUGLAS FRANCIS NIEMANN |
| Credential | M.D. |
| Practice Address |
Emile @ 42nd Street Omaha NE 68198-1045 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025591010 |
| Practice Fax Number | 4025591011 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
23759 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC/BS OF NE CENTRAL NEBRASKA IMAGING | 00780 | 01 |
| NE | 10025186700 | 05 | |
| NE | 10025248800 | 05 | |
| NE | BC/BS OF NE WHITE RIVER IMAGING | 00779 | 01 |
| NE | 10025173600 | 05 | |
| IA | 1619016409 | 05 |
| Street Address |
EMILE @ 42ND STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593840 | Troy Steven Anderson | Nurse Anesthetist, Certified Registered | Emile @ 42nd Street, Omaha, NE 68198-3135 | 2006-03-27 |
| 1891274403 | Daniel W Cramer | Nurse Practitioner | Emile @ 42nd Street, Omaha, NE 68198-0001 | 2018-08-14 |
| 1376020016 | Anna Swartz | Nurse Practitioner | Emile @ 42nd Street, Omaha, NE 68198-0001 | 2018-07-25 |
| 1649757436 | Brooke C Veer-sundermeier | Nurse Practitioner | Emile @ 42nd Street, Omaha, NE 68198-0001 | 2018-07-24 |
| 1891176954 | Kayvon Dowlatshahi | Pathology | Emile @ 42nd Street, Omaha, NE 68198-3135 | 2015-06-15 |
| 1669853990 | Kaitlyn Brittan | Internal Medicine | Emile @ 42nd Street, Omaha, NE 68198-0001 | 2015-06-11 |
| 1497160519 | Kristin N Wakin | Anesthesiology | Emile @ 42nd Street, Omaha, NE 68198-4455 | 2014-06-26 |
| 1073928503 | Jesse Lee Cox | Pathology | Emile @ 42nd Street, Omaha, NE 68198-3135 | 2014-06-23 |
| 1598197311 | Srinivas Rao Vunnam | Internal Medicine | Emile @ 42nd Street, Omaha, NE 68198-0001 | 2013-08-02 |
| 1417188814 | Chijioke William Enweluzo | Internal Medicine | Emile @ 42nd Street, Omaha, NE 68198 | 2009-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104319664 | Jackson Wyatt Boice | Radiology | S 42nd St and Emile St, Omaha, NE 68198-8500 | 2018-06-10 |
| 1396163135 | Bijal Shah | Radiology | S 42nd St & Emile St, Omaha, NE 68198-0001 | 2014-03-30 |
| 1417198995 | Guy Neil Gibson | Radiology | 905 S 110th Plz, Omaha, NE 68154-3370 | 2009-03-13 |
| 1235312257 | James F Johnson | Radiology | 9847 Bloomfield Dr, Omaha, NE 68114-2117 | 2007-12-12 |
| 1114126802 | Julie Ann Ratino | Radiology | 301 N. 60th Street, Omaha, NE 68131 | 2007-07-13 |
| 1700088028 | Matthew Mendlick | Radiology | 16116 Bedford Ave, Omaha, NE 68116-6433 | 2007-05-31 |
| 1700095452 | Roger Kent Harned | Radiology | 12624 Martha St, Omaha, NE 68144-2626 | 2007-05-21 |
| 1740492230 | Melissa Nicole Manzer | Radiology | 981045 Nebraska Medical Center, Omaha, NE 68198-1045 | 2007-05-04 |
| 1740407618 | Lyudmila M Muinov | Radiology | 42nd and Emile St, Omaha, NE 68198 | 2007-04-19 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
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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.