NPI 1154680700 · live from the CMS NPI Registry
Alegent Creighton Clinic
Internal Medicine in Omaha, NE. National Provider Identifier 1154680700, active.
NPI record
| NPI | 1154680700 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 12809 W Dodge Road, Omaha, NE 68154 |
| Practice phone | 402-398-6255 |
| Enumerated | May 16, 2012 |
| Last updated | August 9, 2016 |
| Authorized official | Keith Jankuski, Coo |
| Other names | Chi Health Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Allergy & Immunology | 207K00000X | — |
| Anesthesiology | 207L00000X | — |
| Dermatology | 207N00000X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Nephrology | 207RN0300X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Pathology, Anatomic Pathology | 207ZP0101X | — |
| Pediatrics | 208000000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.