Organization

Omaha Nephrology Pc

Nephrology Physician in Omaha, NE(View on Map)

Legal Business Name

Omaha Nephrology Pc

NPI Number

1053407064

NPI Type

Organization

Enumeration Date

10/05/2006

Specialties

(Taxonomies)

Code

207RN0300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1111 N 102ND CT STE 200
1111 N 102ND CT STE 200

City

Omaha
Omaha

State

NE
NE

Postal Code

68114-2194
68114-2194

Country

US
US

Telephone Number

(402) 502-2747
(402) 502-2747

Authorized Official

Name

Dr. David Goldner

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(402) 502-2747

Identifiers

Identifier

CD3083
0993865

Identifier State

NE
IA

Identifier Issuer

RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/10/2019

Provider Address

Other Nephrology Physicians in Omaha, Nebraska:

Organization

Innoneph Llc

Omaha, NE

Specialty: Nephrology Physician (Primary)

Organization

Creighton University

May also be known as Creighton Medical Associates
Omaha, NE

Specialties: Anesthesiology PhysicianCardiovascular Disease PhysicianDermatology PhysicianEndocrinology, Diabetes & Metabolism PhysicianFamily Medicine PhysicianGastroenterology PhysicianHematology & Oncology PhysicianInfectious Disease PhysicianNephrology Physician