SPINE CIN OF OMAHA LLC (NPI# 1982103818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982103818 |
| Entity Type | Organization |
| Organization Name | SPINE CIN OF OMAHA LLC |
| Practice Address |
4611 S 96th St Ste 252 Omaha NE 68127-1244 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
NE | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4611 S 96TH ST STE 252 |
| City | OMAHA |
| State | NE |
| Zip Code | 68127-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
| 1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
| 1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
| 1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
| 1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
| 1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
| 1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
| Find all providers in zip 68127 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285836049 | Daniel Firestone | Orthopaedic Surgery | 2727 S 144th St Ste 142, Omaha, NE 68144-5225 | 2007-06-04 |
| 1740333608 | Midwest Orthopedics PC | Orthopaedic Surgery | 6829 N 72 St, Suite 7500, Omaha, NE 68122-1790 | 2007-01-22 |
| 1255347456 | Randall D Neumann | Orthopaedic Surgery | 2725 South 144th St, Suite 212, Omaha, NE 68144 | 2006-07-31 |
| 1023050978 | Mark E Dietrich | Orthopaedic Surgery | 981080 Nebraska Medical Ctr, Omaha, NE 68198-1080 | 2006-06-12 |
| 1316995665 | Edward Vincent Fehringer | Orthopaedic Surgery | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2006-05-05 |
| 1578552063 | Bryan D Bredthauer | Orthopaedic Surgery | 11819 Miracle Hills Dr, Suite 203, Omaha, NE 68154-4428 | 2005-10-17 |
| 1346243755 | Howard Randal Woodward | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
| 1497370407 | Dylan Fischer | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-15 |
| 1619592888 | Carla Strohhofer | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-12 |
| 1649895228 | Keagan Timothy Gertz | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-10 |
| 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.