CAWAB MEDICAL LLC (NPI# 1891321790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891321790 |
| Entity Type | Organization |
| Organization Name | CAWAB MEDICAL LLC |
| Practice Address |
18021 Oak St Ste B Omaha NE 68130-6035 |
| Practice Telephone | 4028893633 |
| Practice Fax Number | 5313753755 |
| Mailing Telephone | 4028893633 |
| Mailing Fax Number | 5313753755 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | KIMBELRY K ANDERSON (OWNER) |
| Authorized Official Telephone | 4028893633 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1124062161 | 05 |
| Street Address |
18021 OAK ST STE B |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184099004 | Family First Health Care, LLC | Clinic/Center | 5420 Nw Radial Hwy Ste A, Omaha, NE 68104-3592 | 2015-12-03 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1407012123 | Concentra Health Services, Inc. | Clinic/Center | 9602 M Street, Omaha, NE 68127 | 2008-08-01 |
| 1649455643 | Joshua Philip Havens | Clinic/Center | 804 S. 52nd, Omaha, NE 68106 | 2008-01-08 |
| 1609868967 | Kohlls Pharmacy & Homecare Inc | Clinic/Center | 12739 Q St, Omaha, NE 68137-3211 | 2005-08-22 |
| 1760921472 | Midwest Integrative Health | Clinic/Center | 4611 S 96th St, Suite 139, Omaha, NE 68127-1202 | 2017-02-14 |
| 1881048841 | North Omaha Area Health, Inc. | Clinic/Center | 5620 Ames Ave, Omaha, NE 68104-2702 | 2016-04-15 |
| 1538547815 | Chi Health Immanuel Rehabilitation Institute | Clinic/Center | 7101 Newport Ave, Omaha, NE 68152-2164 | 2015-05-07 |
| 1740681832 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2014-09-09 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| 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.