Shibu V Oommen (NPI# 1447660535, PAC ID# 0749400240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447660535 |
| PAC ID by PECOS | 0749400240 |
| Professional Enrollment ID | I20170718002138 |
| Full Name | Shibu V Oommen |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Address |
8248 S 96th St La Vista NE 68128-3126 |
| Phone Number | 4027179500 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951210418 |
| Number of Group Practice Members | 568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280060 | CHI HEALTH BERGAN MERCY |
| 280081 | CHI HEALTH IMMANUEL |
| Address | Phone | Organization |
|---|---|---|
| 3135 W Broadway, Council Bluffs, IA 51501-3359 | 7123289100 | ALEGENT CREIGHTON CLINIC |
| 8248 S 96th St, La Vista, NE 68128-3126 | 4027179500 | ALEGENT CREIGHTON CLINIC |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Physicians | 618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sangeeta Mutnuri | Nephrology | Alegent Creighton Clinic | 1213 Garfield, Alegent Creighton Clinic Iowa Outreach, Harlan, IA 51537-2057 |
| Jasper Nathaniel Kaufman | Nurse Practitioner | Alegent Creighton Clinic | 8141 W Ctr, Omaha, NE 68124-3273 |
| Rajani Rangray | Gastroenterology | Alegent Creighton Clinic | 7710 Mercy Rd, Suite 2000, Omaha, NE 68124-2323 |
| Eduardo Herrera Lirio | Obstetrics/gynecology | Alegent Creighton Clinic | 11111 S 84th St, Papillion, NE 68046-4157 |
| Kathleen Sekpe | Obstetrics/gynecology | Alegent Creighton Clinic | 5005 S 153rd St, Suite 100, Omaha, NE 68137-5069 |
| Jason Krupp | Internal Medicine | Alegent Creighton Clinic | 13315 W Ctr Rd, Omaha, NE 68137-3449 |
| Elizabeth L Hinzmann | Nurse Practitioner | Alegent Creighton Clinic | 700 S Hwy St, Alegent Creighton Clinic Oakland, Oakland, IA 51560-4357 |
| Nada Skaf | Rheumatology | Alegent Creighton Clinic | 6829 N 72nd St, Omaha, NE 68122-1724 |
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Amy Leah Mcgaha | Family Medicine | Alegent Creighton Clinic | 3308 Samson Way, Bellevue, NE 68123-3234 |
| Street Address |
8248 S 96TH ST |
| City | LA VISTA |
| State | NE |
| Zip | 68128-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garret S Parker | Internal Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Melissa Leann Muhs | Physician Assistant | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Kathryn Elizabeth Huerter | Nurse Practitioner | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Amber Brown Keebler | Internal Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Christine M Inguanzo | Family Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Angela Gilfillan | Nurse Practitioner | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Farouq A Qaqish | Family Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Anne M Mullin | Physician Assistant | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Stephen James Smith | Family Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Kristen B Fulton | Internal Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| September Wanzenried | Nurse Practitioner | Minuteclinic Diagnostic of Nebraska, LLC. | 6901 S 84th St, La Vista, NE 68128-2127 |
| Carmen Y Carey | Nurse Practitioner | Minuteclinic Diagnostic of Nebraska, LLC. | 6901 S 84th St, La Vista, NE 68128-2127 |
| Cheryl Lynn Darby-carlberg | Nurse Practitioner | Minuteclinic Diagnostic of Nebraska, LLC. | 6901 S 84th St, La Vista, NE 68128-2127 |
| Rachel S Stutheit | Nurse Practitioner | Minuteclinic Diagnostic of Nebraska, LLC. | 6901 S 84th St, La Vista, NE 68128-2127 |
| Kimberly A Wohlwend | Nurse Practitioner | Minuteclinic Diagnostic of Nebraska, LLC. | 6901 S 84th St, La Vista, NE 68128-2127 |
| Randy Gerdts | Chiropractic | 7514 S 84th St, La Vista, NE 68128-2424 | |
| Cary L Holl | Chiropractic | 7320 Harrison St, Ralston, NE 68128-2904 | |
| Robert M Faulk | Diagnostic Radiology | 7950 Harrison St, La Vista, NE 68128-2912 | |
| Jonathan James Meylor | Chiropractic | 9633 Giles Rd, La Vista, NE 68128-2928 | |
| Kristee Zoloty | Internal Medicine | Alegent Creighton Clinic | 8248 S 96th St, La Vista, NE 68128-3126 |
| Find all physicians in zip 68128 | |||
| City | LA VISTA |
| Zip Code | 68128 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA VISTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shibu V Oommen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.