Unknown Individual – Pediatric Gastroenterology Physician, NPI 1467419143
Pediatric Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Farnam Street, Omaha, Douglas County, Nebraska, 68132, United States
OMAHA, NE 681312850
Phone: (402) 552-2100
Fax: (402) 552-2160
Type: Location
Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681540221
Phone: (402) 552-2100
Fax: (402) 552-2160
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68131)
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