DR. ANTOINETTE LOUISE TRIBULATO (NPI# 1902058381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902058381 |
Entity Type | Individual |
Full Name | DR. ANTOINETTE LOUISE TRIBULATO |
Credential | M.D. |
Practice Address |
405 N 39th St Omaha NE 68131-2308 |
Practice Telephone | 4027072313 |
Mailing Telephone | 4027072313 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2013-10-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 23460 | NE | Allopathic & Osteopathic Physicians |
Street Address |
405 N 39TH ST |
City | OMAHA |
State | NE |
Zip Code | 68131-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
Find all providers in zip 68131 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
1801076559 | Kay E Ticen Md | General Practice | 6818 Grover St Ste 201, Omaha, NE 68106-3632 | 2007-11-10 |
1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
1033267406 | Vijay Kumar Agarwal | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2007-01-08 |
1225660244 | 88 Medicine LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-02-07 |
1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
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.