Nebraska Hospitalists Llc | |
1870 S 75th St Omaha NE 68124-1700 | |
(402) 612-1549 | |
Not Available |
Full Name | Nebraska Hospitalists Llc |
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Speciality | Internal Medicine |
Location | 1870 S 75th St, Omaha, Nebraska |
Authorized Official Name and Position | Stephen Edward Budd (PRESIDENT) |
Authorized Official Contact | 4026121549 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nebraska Hospitalists Llc 5719 Nw Radial Hwy Omaha NE 68104-4141 Ph: (402) 612-1549 | Nebraska Hospitalists Llc 1870 S 75th St Omaha NE 68124-1700 Ph: (402) 612-1549 |
NPI Number | 1114262615 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 10/29/2013 |
Medicare PECOS PAC ID | 2860626033 |
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Medicare Enrollment ID | O20131002000391 |
Identifier | Type | State | Issuer |
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1114262615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 18705 (Nebraska) | Primary |
Provider Name | Antonio B Saqueton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215923578 PECOS PAC ID: 2769449081 Enrollment ID: I20041217000355 |
Provider Name | Darren J Splonskowski |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1730261942 PECOS PAC ID: 1355440546 Enrollment ID: I20070629000140 |
Provider Name | Timothy L Longacre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659433712 PECOS PAC ID: 4789779935 Enrollment ID: I20071002000844 |
Provider Name | Krishan Ariyarathna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497975353 PECOS PAC ID: 2668528266 Enrollment ID: I20090923000611 |
Provider Name | Steven John Hart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598982191 PECOS PAC ID: 5193867968 Enrollment ID: I20100118000227 |
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