RA NEUROLOGICAL, P.C. (NPI# 1720009681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720009681 |
| Entity Type | Organization |
| Organization Name | RA NEUROLOGICAL, P.C. |
| Practice Address |
11930 Arbor St Suite 200 Omaha NE 68144-2998 |
| Practice Telephone | 4026971601 |
| Practice Fax Number | 4026975007 |
| Mailing Telephone | 4026971601 |
| Mailing Fax Number | 4026975007 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD VALENSON ANDREWS (PRESIDENT) |
| Authorized Official Telephone | 4026971601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
16475 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE NUMBER | 16475 | 01 |
| IA | STATE LICENSE NUMBER | 0984229 | 01 |
| Street Address |
11930 ARBOR ST SUITE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538516919 | Erica Kube | Counselor | 11930 Arbor St, Suite 203, Omaha, NE 68144-2998 | 2016-05-16 |
| 1881082808 | Neurotherapy Center of Nebraska, Inc | Clinic/Center | 11930 Arbor St, Suite 203, Omaha, NE 68144-2998 | 2014-12-29 |
| 1316335433 | Integrated Neurotherapy Center, Inc | Clinic/Center | 11930 Arbor St, Suite 203, Omaha, NE 68144-2998 | 2014-12-23 |
| 1194074583 | James Dean Moore | Registered Nurse | 11930 Arbor St, Suite 203, Omaha, NE 68144-2998 | 2012-08-31 |
| 1659425288 | Richard V Andrews | Psychiatry & Neurology | 11930 Arbor St, Suite 200, Omaha, NE 68144-2998 | 2007-01-22 |
| 1982781357 | Beverly A. Doyle | Psychologist | 11930 Arbor St, Suite 200, Omaha, NE 68144-2998 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306800883 | Fred J Kader | Psychiatry & Neurology | 8424 West Center Rd, Suite 212, Omaha, NE 68124 | 2006-04-13 |
| 1760867832 | Valeria Isabel Naranjo Ibarra | Psychiatry & Neurology | 555 N 30th St, Omaha, NE 68131-2136 | 2015-07-29 |
| 1467834911 | Anjaneya Madhav Bandatmakur | Psychiatry & Neurology | 555 N 30th St, Omaha, NE 68131-2136 | 2015-06-22 |
| 1790197929 | Dinesh Shyam Lulla | Psychiatry & Neurology | 555 N 30th St, Omaha, NE 68131-2136 | 2014-05-22 |
| 1659425288 | Richard V Andrews | Psychiatry & Neurology | 11930 Arbor St, Suite 200, Omaha, NE 68144-2998 | 2007-01-22 |
| 1275607608 | Rhonda R Wright | Psychiatry & Neurology | Children's Hospital - Neurology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-18 |
| 1992879324 | Young P Oliver | Psychiatry & Neurology | Children's Hospital - Neurology, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-18 |
| 1841249281 | Janice L Mcallister | Psychiatry & Neurology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811250418 | Hannah Washington Klein | Psychiatry & Neurology | 14040 Boys Town Hospital Rd, Boys Town, NE 68010-7521 | 2012-06-19 |
| 1073707949 | Charles R Adams | Psychiatry & Neurology | 109 N 15th St, Suite 14, Norfolk, NE 68701-3666 | 2007-09-04 |
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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.