DR. PETER R DEMARCO (NPI# 1841307782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841307782 |
| Entity Type | Individual |
| Full Name | DR. PETER R DEMARCO |
| Credential | MD |
| Practice Address |
8601 West Dodge Rd Ste 234 Dodge Professional Center Omaha NE 68114 |
| Practice Telephone | 4023938910 |
| Practice Fax Number | 4023933350 |
| Mailing Telephone | 4023938910 |
| Mailing Fax Number | 4023933350 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 10836 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0914416 | 05 | |
| NE | 470535639 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095355 | Peter John Demarco Jr. | Dentist | 3122 Kulp Rd., Eden, NY 14057 | 2005-09-30 |
| Street Address |
8601 WEST DODGE RD STE 234 DODGE PROFESSIONAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922261601 | Raymond Lloyd Grove Jr. | Dentist | 8601 West Dodge Rd, #148, Omaha, NE 68114 | 2008-07-03 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246656 | Omaha Facial Plastic Surgery PC | Otolaryngology | 17410 Burke St, Ste 200, Omaha, NE 68118-2245 | 2017-03-14 |
| 1710366018 | Brandon Wachal | Otolaryngology | 989250 Nebraska Medical Ctr, Omaha, NE 68198-3250 | 2015-05-20 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1265724058 | Eugene Lee Son | Otolaryngology | Dept of Otolaryngolgy, 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2011-05-11 |
| 1902113525 | John W Pflug Md, PC | Otolaryngology | 2114 S 109th St, Omaha, NE 68144-3105 | 2010-09-02 |
| 1962606137 | Brynn Elaina Richardson | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2007-06-12 |
| 1255496766 | Richard Mack Tempero | Otolaryngology | 7205 W Center Rd Ste 103, Omaha, NE 68124-2387 | 2006-12-26 |
| 1750491692 | Stanley H Schack | Otolaryngology | 2727 S 144th St Ste 250, Omaha, NE 68144-5236 | 2006-08-30 |
| 1669421954 | William A Ingram | Otolaryngology | 18015 Oak St, Suite B, Omaha, NE 68130-6097 | 2006-05-06 |
| 1114999711 | Debora Goebel | Otolaryngology | 720 N 129th St, Omaha, NE 68154-6109 | 2006-02-07 |
| 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.