| Think Whole Person Healthcare | |
|
7100 W Center Rd Omaha NE 68106-2714 | |
| (402) 506-9000 | |
| (402) 506-9093 |
| Full Name | Think Whole Person Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 7100 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | James T. Canedy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4025069000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Think Whole Person Healthcare 7100 W Center Rd Omaha NE 68106-2714 Ph: (402) 506-9000 | Think Whole Person Healthcare 7100 W Center Rd Omaha NE 68106-2714 Ph: (402) 506-9000 |
| NPI Number | 1316357676 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9638394505 |
|---|---|
| Medicare Enrollment ID | O20140819000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316357676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Harry S Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730117615 PECOS PAC ID: 8123921178 Enrollment ID: I20040202000617 |
| Provider Name | Susan G Scholer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629000609 PECOS PAC ID: 8921901976 Enrollment ID: I20040203000983 |
| Provider Name | Douglas A Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932124112 PECOS PAC ID: 9335034768 Enrollment ID: I20040224000945 |
| Provider Name | William D Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245237882 PECOS PAC ID: 0648266882 Enrollment ID: I20040428000459 |
| Provider Name | James M Shehan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316041734 PECOS PAC ID: 2365412343 Enrollment ID: I20040728000042 |
| Provider Name | Kathryn S Wildy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265543359 PECOS PAC ID: 7416929559 Enrollment ID: I20040903000811 |
| Provider Name | Jennifer Jo Buescher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558399360 PECOS PAC ID: 8224015581 Enrollment ID: I20040914001099 |
| Provider Name | Kirk Benton Muffly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245347251 PECOS PAC ID: 9032170113 Enrollment ID: I20041021000959 |
| Provider Name | Joel D Elson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851309843 PECOS PAC ID: 1951359645 Enrollment ID: I20050110000549 |
| Provider Name | Timothy Patrick Crnkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982796280 PECOS PAC ID: 7911951249 Enrollment ID: I20050309000452 |
| Provider Name | Melissa E Gerard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972630069 PECOS PAC ID: 2365485604 Enrollment ID: I20050608000558 |
| Provider Name | Brian David Poole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245330760 PECOS PAC ID: 1052356086 Enrollment ID: I20050621000778 |
| Provider Name | Anna C Maio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871684126 PECOS PAC ID: 4183669062 Enrollment ID: I20050621001222 |
| Provider Name | Michelle L Peterson-jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538173190 PECOS PAC ID: 9133027063 Enrollment ID: I20050720001170 |
| Provider Name | Rodney Lee Nitcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952376089 PECOS PAC ID: 0749205219 Enrollment ID: I20051017000781 |
| Provider Name | Louis Violi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922002633 PECOS PAC ID: 1456312933 Enrollment ID: I20051114000920 |
| Provider Name | Harvey Hopkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871597583 PECOS PAC ID: 5395708416 Enrollment ID: I20051114000937 |
| Provider Name | Mark W Woodruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376540567 PECOS PAC ID: 2668491549 Enrollment ID: I20051121000624 |
| Provider Name | Bruce Baron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801965280 PECOS PAC ID: 7810919834 Enrollment ID: I20051220000654 |
| Provider Name | Barry L Fanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245300565 PECOS PAC ID: 2860435138 Enrollment ID: I20051220000705 |
| Provider Name | Suzanne L Hruza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316016785 PECOS PAC ID: 4688696529 Enrollment ID: I20051220000731 |
| Provider Name | Charles C Schlaepfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346319746 PECOS PAC ID: 9830111772 Enrollment ID: I20051220000763 |
| Provider Name | Erik A Pedersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558268 PECOS PAC ID: 4981673191 Enrollment ID: I20060810000387 |
| Provider Name | Stanley H Schack |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750491692 PECOS PAC ID: 7113927120 Enrollment ID: I20061221000434 |
| Provider Name | Brian J Stoneking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558447177 PECOS PAC ID: 6709988785 Enrollment ID: I20070221000527 |
| Provider Name | Jonathan Spencer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538163241 PECOS PAC ID: 9739140930 Enrollment ID: I20070227000465 |
| Provider Name | Lyndsay Marie Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598803843 PECOS PAC ID: 1557464666 Enrollment ID: I20070309000525 |
| Provider Name | Gregory G Eckert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518902709 PECOS PAC ID: 3173620424 Enrollment ID: I20070523000091 |
| Provider Name | Steven J Gradowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972572212 PECOS PAC ID: 1951496660 Enrollment ID: I20070926000708 |
| Provider Name | Martin M Mancuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396852497 PECOS PAC ID: 2668560145 Enrollment ID: I20071116000239 |
| Provider Name | John A Haggstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710923826 PECOS PAC ID: 9638265713 Enrollment ID: I20071121000455 |
| Provider Name | Patricia A Helke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124058607 PECOS PAC ID: 3779472402 Enrollment ID: I20071121000461 |
| Provider Name | Matthew M Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801832910 PECOS PAC ID: 7810083995 Enrollment ID: I20071121000488 |
| Provider Name | Don Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881719334 PECOS PAC ID: 8527158203 Enrollment ID: I20080614000051 |
| Provider Name | Kyle A Krehbiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487617403 PECOS PAC ID: 2567411747 Enrollment ID: I20080618000064 |
| Provider Name | Jeremy M Baum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053589549 PECOS PAC ID: 3870662224 Enrollment ID: I20080618000799 |
| Provider Name | Tami D Denotter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891976338 PECOS PAC ID: 4486725736 Enrollment ID: I20080626000129 |
| Provider Name | Catherine R Mendlick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639371602 PECOS PAC ID: 8022109289 Enrollment ID: I20080628000051 |
| Provider Name | Robert L Recker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720008642 PECOS PAC ID: 1456426113 Enrollment ID: I20080815000232 |
| Provider Name | Scott H Goodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265434443 PECOS PAC ID: 2769584077 Enrollment ID: I20090611000452 |
| Provider Name | Bradley B Copple |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962648410 PECOS PAC ID: 7416002415 Enrollment ID: I20090826000904 |
| Provider Name | Michael R Schuster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174551832 PECOS PAC ID: 6901796614 Enrollment ID: I20090910000017 |
| Provider Name | Rebecca B. Reilly |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174633499 PECOS PAC ID: 6406998459 Enrollment ID: I20100128000803 |
| Provider Name | Joedy R Istas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568578797 PECOS PAC ID: 6709929516 Enrollment ID: I20100202000550 |
| Provider Name | Christine M Jeffrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144336744 PECOS PAC ID: 6709929235 Enrollment ID: I20100205000685 |
| Provider Name | Steven H Zuber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760594873 PECOS PAC ID: 1254474489 Enrollment ID: I20100210000111 |
| Provider Name | Richard K Osterholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809266 PECOS PAC ID: 9638161136 Enrollment ID: I20100219000402 |
| Provider Name | Joseph F Shehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174632061 PECOS PAC ID: 7012007792 Enrollment ID: I20100219000429 |
| Provider Name | Brian A Schlattmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306859236 PECOS PAC ID: 7618011222 Enrollment ID: I20100220000282 |
| Provider Name | Luanne M Lundergard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962425652 PECOS PAC ID: 4284761313 Enrollment ID: I20100422000189 |
| Provider Name | Timothy J Crowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366465023 PECOS PAC ID: 4587713417 Enrollment ID: I20100422000306 |
| Provider Name | John A Woodruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809464 PECOS PAC ID: 2860541794 Enrollment ID: I20100422000350 |
| Provider Name | David H Sambol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093735326 PECOS PAC ID: 0042369977 Enrollment ID: I20100422000366 |
| Provider Name | Stuart B Frigyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124133939 PECOS PAC ID: 7618005182 Enrollment ID: I20100505000137 |
| Provider Name | Margo Kay Anderson Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609950492 PECOS PAC ID: 4082716592 Enrollment ID: I20100622000919 |
| Provider Name | Chad A Eicher |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336364579 PECOS PAC ID: 9234253766 Enrollment ID: I20100903000768 |
| Provider Name | Tim M Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093703027 PECOS PAC ID: 9739086596 Enrollment ID: I20110316000658 |
| Provider Name | Andrew J Frager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104018324 PECOS PAC ID: 5597933895 Enrollment ID: I20110712000264 |
| Provider Name | Mathew A Davey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851568703 PECOS PAC ID: 5092985168 Enrollment ID: I20110826000685 |
| Provider Name | Johanna Schubert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134353923 PECOS PAC ID: 5698942449 Enrollment ID: I20120118000643 |
| Provider Name | Jamie J Vitamvas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427369222 PECOS PAC ID: 0244407070 Enrollment ID: I20120119000562 |
| Provider Name | Nada Skaf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073735817 PECOS PAC ID: 1355536525 Enrollment ID: I20121220000130 |
| Provider Name | Jane A West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760661755 PECOS PAC ID: 9739335506 Enrollment ID: I20130816000708 |
| Provider Name | David S Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881912020 PECOS PAC ID: 8527200609 Enrollment ID: I20130820000890 |
| Provider Name | Mark J Hare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790006914 PECOS PAC ID: 8820232788 Enrollment ID: I20130913000627 |
| Provider Name | Reanen Earl Michael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801228952 PECOS PAC ID: 7214161355 Enrollment ID: I20131125000034 |
| Provider Name | Jonathan F Moravek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578672523 PECOS PAC ID: 4789659277 Enrollment ID: I20140205001078 |
| Provider Name | Jessica R Moran-hansen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528296209 PECOS PAC ID: 0345466827 Enrollment ID: I20140717002144 |
| Provider Name | Nathan S Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912309337 PECOS PAC ID: 0244450708 Enrollment ID: I20141003001480 |
| Provider Name | Adrienne S Dekarske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124262621 PECOS PAC ID: 3678708823 Enrollment ID: I20150625000180 |
| Provider Name | David A Rupiper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689836124 PECOS PAC ID: 8022259225 Enrollment ID: I20150713003106 |
| Provider Name | Kelli J Stoffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679933725 PECOS PAC ID: 5395042584 Enrollment ID: I20160404000749 |
| Provider Name | Nagendra Natarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124245618 PECOS PAC ID: 3577728187 Enrollment ID: I20160418001369 |
| Provider Name | Jessica M Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649544925 PECOS PAC ID: 1254620255 Enrollment ID: I20160513002058 |
| Provider Name | Michael J Clegg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518189174 PECOS PAC ID: 2163646233 Enrollment ID: I20160708001857 |
| Provider Name | Gregory Beyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477514297 PECOS PAC ID: 0547277030 Enrollment ID: I20170522002578 |
| Provider Name | Brandi N Flagg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619230588 PECOS PAC ID: 4981836376 Enrollment ID: I20170712000411 |
| Provider Name | Scott G Akin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366447401 PECOS PAC ID: 1052211851 Enrollment ID: I20180416000878 |
| Provider Name | Danielle P Raney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942717111 PECOS PAC ID: 2668736315 Enrollment ID: I20180503001864 |
| Provider Name | Matthew J Kruse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922389451 PECOS PAC ID: 4082864038 Enrollment ID: I20180606000465 |
| Provider Name | Shane Dennis Dieckman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487647368 PECOS PAC ID: 1355580135 Enrollment ID: I20180621001282 |
| Provider Name | Joel M Michalski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437599248 PECOS PAC ID: 2062645591 Enrollment ID: I20190703003079 |
| Provider Name | Joshua J Espelund |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225158819 PECOS PAC ID: 8123206414 Enrollment ID: I20200402000989 |
| Provider Name | Holly M Vail |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124648217 PECOS PAC ID: 0042641557 Enrollment ID: I20200518002164 |
| Provider Name | Steven Osborn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467867309 PECOS PAC ID: 8628299591 Enrollment ID: I20200610000414 |
| Provider Name | John Guynan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003227398 PECOS PAC ID: 2264734698 Enrollment ID: I20200616001064 |
| Provider Name | Alexandra King Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851801997 PECOS PAC ID: 5395168785 Enrollment ID: I20200701002292 |
| Provider Name | Jackson T Buck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063039170 PECOS PAC ID: 2860815511 Enrollment ID: I20200714000811 |
| Provider Name | William Paul Engle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588198576 PECOS PAC ID: 2163848185 Enrollment ID: I20200820001189 |
| Provider Name | Jeb T List |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023429925 PECOS PAC ID: 4880811470 Enrollment ID: I20201124000275 |
| Provider Name | Erika L Rothgeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912401050 PECOS PAC ID: 7911257043 Enrollment ID: I20201201000687 |
| Provider Name | Christian Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760608178 PECOS PAC ID: 0143366047 Enrollment ID: I20210505001649 |
| Provider Name | Katy R Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568127249 PECOS PAC ID: 3173912037 Enrollment ID: I20211115001288 |
| Provider Name | Devan R Sedlacek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154931012 PECOS PAC ID: 0446641682 Enrollment ID: I20211227000729 |
| Provider Name | Patrick A Harty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760414957 PECOS PAC ID: 3274536677 Enrollment ID: I20220606000794 |
| Provider Name | Timothy Hallman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710360730 PECOS PAC ID: 2668760562 Enrollment ID: I20220606002263 |
| Provider Name | Julie Ann Meister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185258 PECOS PAC ID: 6901212430 Enrollment ID: I20220822001370 |
| Provider Name | Abraham Abd Al-rahman Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803340 PECOS PAC ID: 3971831710 Enrollment ID: I20221011001216 |
| Provider Name | Ryan J Zucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487676060 PECOS PAC ID: 6800830142 Enrollment ID: I20230214002502 |
| Provider Name | Brandy M Baltrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053046086 PECOS PAC ID: 8224496260 Enrollment ID: I20230622002746 |
| Provider Name | Jennifer N Diamond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043830219 PECOS PAC ID: 5597184523 Enrollment ID: I20230628001491 |
| Provider Name | Justin T Schramm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770111734 PECOS PAC ID: 1850710872 Enrollment ID: I20230630000350 |
| Provider Name | Kevin Gengel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053842278 PECOS PAC ID: 1355729625 Enrollment ID: I20230707001691 |
| Provider Name | Andrew Barnhill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326536400 PECOS PAC ID: 9133458110 Enrollment ID: I20230720003343 |
| Provider Name | Heather Schultz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871910810 PECOS PAC ID: 9436487949 Enrollment ID: I20230726000549 |
| Provider Name | James Steidler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003813460 PECOS PAC ID: 0446156418 Enrollment ID: I20230803000540 |
| Provider Name | Henamari R Ybay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548047301 PECOS PAC ID: 3072968353 Enrollment ID: I20231005002022 |
| Provider Name | Amanda A Perrault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316409683 PECOS PAC ID: 6507215779 Enrollment ID: I20231213001738 |
| Provider Name | Suzanne F Piotrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306486261 PECOS PAC ID: 6103275250 Enrollment ID: I20231214000639 |
| Provider Name | Rebecca R Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982118501 PECOS PAC ID: 4284083338 Enrollment ID: I20231214000664 |
| Provider Name | Jameson G Bock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225750078 PECOS PAC ID: 0749624971 Enrollment ID: I20240215003212 |
Eagle Run Chiropractic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13808 W Maple Rd, Suite 116, Omaha, NE 68164 Phone: 402-491-4087 Fax: 402-491-4091 | |
Bott Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11810 Nicholas St Ste 101, Omaha, NE 68154 Phone: 402-779-8400 Fax: 402-779-8401 | |
Sanchez Family Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3440 S 50th St, Omaha, NE 68106 Phone: 402-214-9040 Fax: 402-884-0088 | |
Powers Chiropractic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11343 Wright Cir, Omaha, NE 68144 Phone: 402-504-4344 Fax: 402-504-1173 | |
Physicians Of Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7710 Mercy Rd Ste 601, Omaha, NE 68124 Phone: 402-397-5236 Fax: 402-397-8864 | |
Trillion Health And Hormone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12002 Pacific St, Omaha, NE 68154 Phone: 402-201-2373 Fax: 402-201-2432 | |
Jayanthi Ganesan, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4242 Farnam St, #142, Omaha, NE 68131 Phone: 402-552-2212 Fax: 402-552-2263 |