NPI 1255568002 · live from the CMS NPI Registry
Jessica Kathleen Goeller, D.O.
Anesthesiology, Pediatric Anesthesiology in Omaha, NE. National Provider Identifier 1255568002, active.
NPI record
| NPI | 1255568002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pediatric Anesthesiology 207LP3000X |
| Practice location | 8200 Dodge St, Children'S Hosp & Med Center - Anesthesiology, Omaha, NE 68114 |
| Practice phone | 402-955-8972 |
| Enumerated | June 19, 2009 |
| Last updated | May 10, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pediatric Anesthesiology primary | 207LP3000X | 1183 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.