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ST. GEORGE FAMILY PRACTICE P.C NPI 1447526157


NPI Information

NPI: 1447526157
Provider Name: ST. GEORGE FAMILY PRACTICE P.C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D2158655

Address:
3440 S 50TH ST
OMAHA, NE
ZIP 68106
Phone: (402) 404-6061
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ST. GEORGE FAMILY PRACTICE P.C is a family medicine in Omaha, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. GEORGE FAMILY PRACTICE P.C NPI is 1447526157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3440 S 50TH ST
OMAHA, NE
ZIP 68106-829
Phone: (402) 404-6061
Fax: (402) 933-1374

The provider's authorized official is Mohsen Abou Seif .
The authorized official title is Physican/owner and has the following contact phone number (402) 305-8755.

The CLIA number assigned to this NPI record is 28D2158655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 1/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25251NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100263254-00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.