| Internal Medicine Physicians P.c. | |
|
17030 Lakeside Hills Plz #102 Omaha NE 68130-2396 | |
| (402) 758-5800 | |
| (402) 435-1404 |
| Full Name | Internal Medicine Physicians P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17030 Lakeside Hills Plz, Omaha, Nebraska |
| Authorized Official Name and Position | David G Sharp (PRESIDENT) |
| Authorized Official Contact | 4027585800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Physicians P.c. 17030 Lakeside Hills Plz #102 Omaha NE 68130-2396 Ph: (402) 758-5800 | Internal Medicine Physicians P.c. 17030 Lakeside Hills Plz #102 Omaha NE 68130-2396 Ph: (402) 758-5800 |
| NPI Number | 1225186521 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/23/2020 |
| Medicare PECOS PAC ID | 4183727266 |
|---|---|
| Medicare Enrollment ID | O20070309000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225186521 | NPI | - | NPPES |
| DF6136 | Other | NE | MEDICARE RAILROAD |
| Provider Name | David R Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295884021 PECOS PAC ID: 3779545355 Enrollment ID: I20041027000720 |
| Provider Name | David G Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932117470 PECOS PAC ID: 4880624972 Enrollment ID: I20050818000283 |
| Provider Name | Stacy L Niemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144415795 PECOS PAC ID: 1951480342 Enrollment ID: I20080509000683 |
| Provider Name | David M Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871651968 PECOS PAC ID: 3274636527 Enrollment ID: I20100224000705 |
| Provider Name | Craig M Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740330745 PECOS PAC ID: 6103955547 Enrollment ID: I20100524000852 |
| Provider Name | Maen M Haddadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316097314 PECOS PAC ID: 3779591599 Enrollment ID: I20160121001078 |
| Provider Name | Kimberly A Scharf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639209166 PECOS PAC ID: 8224329453 Enrollment ID: I20160620000857 |
| Provider Name | Leanne Grover Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730648759 PECOS PAC ID: 1759618903 Enrollment ID: I20190809001896 |
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