NPI 1205520483 · live from the CMS NPI Registry
Jacob Oliver Glowacki, DO
Anesthesiology in Omaha, NE. National Provider Identifier 1205520483, active.
NPI record
| NPI | 1205520483 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 984455 Nebraska Medical Ctr, Omaha, NE 68198 |
| Practice phone | 402-559-4081 |
| Enumerated | June 8, 2023 |
| Last updated | August 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery | 208600000X | R-12850 (IA) |
| Anesthesiology primary | 207L00000X | 9865 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.