| Omaha Gastroenterology Consultants Pc | |
|
7710 Mercy Rd Suite 330 Omaha NE 68124-2372 | |
| (402) 397-8040 | |
| (402) 397-8558 |
| Full Name | Omaha Gastroenterology Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7710 Mercy Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Martha Ann Arouni (OWNER) |
| Authorized Official Contact | 4023978040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omaha Gastroenterology Consultants Pc 7710 Mercy Rd Suite 330 Omaha NE 68124-2372 Ph: (402) 397-8040 | Omaha Gastroenterology Consultants Pc 7710 Mercy Rd Suite 330 Omaha NE 68124-2372 Ph: (402) 397-8040 |
| NPI Number | 1164528956 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 01/24/2012 |
| Medicare PECOS PAC ID | 8921087529 |
|---|---|
| Medicare Enrollment ID | O20040716000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164528956 | NPI | - | NPPES |
| 1164528956 | Medicaid | SD | |
| 288920900 | Other | NE | US DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 17283 (Nebraska) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 111313 (Nebraska) | Secondary |
| Provider Name | Martha A Arouni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073551727 PECOS PAC ID: 1153349170 Enrollment ID: I20051109000451 |
| Provider Name | Brenda F Vander Tuig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366728198 PECOS PAC ID: 7012180912 Enrollment ID: I20111108000870 |
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