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ENT SERVICES PC NPI 1194822130


NPI Information

NPI: 1194822130
Provider Name: ENT SERVICES PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
555 N 30TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 498-6509
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ENT SERVICES PC is an otolaryngology in Omaha, NE. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENT SERVICES PC NPI is 1194822130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 N 30TH ST
OMAHA, NE
ZIP 68131-136
Phone: (402) 498-6509
Fax: (402) 498-6357

The provider's authorized official is Leigh Jean Koinzan .
The authorized official title is Corporate Secretary and has the following contact phone number (402) 498-6617.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/14/2011.


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
1207KA0200XAllergy & ImmunologyAllergyNo
2207X00000XOrthopaedic SurgeryNo
3225100000XPhysical TherapistNo
4231H00000XAudiologistNo
5235Z00000XSpeech-Language PathologistNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207Y00000XOtolaryngologyYes

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
102911OTHERNEBRASKABCBS OF NE GROUP #
2=========04MEDICAIDNEBRASKA
3=========12MEDICAIDNEBRASKA
4CK8685MEDICARE ID-TYPE UNSPECIFIEDNEBRASKARAILROAD GROUP PROVIDER #
510025089100MEDICAIDNEBRASKA
6=========02MEDICAIDNEBRASKA
7=========66MEDICAIDNEBRASKA
8IB1355MEDICARE PINIOWA
910025027000MEDICAIDNEBRASKA
1010025170900MEDICAIDNEBRASKA
11=========68MEDICAIDNEBRASKA
12=========05MEDICAIDNEBRASKA
13086090MEDICARE PINNEBRASKA
1410025002700MEDICAIDNEBRASKA
15=========03MEDICAIDNEBRASKA
1610025146400MEDICAIDNEBRASKA
1710025298800MEDICAIDNEBRASKA
18=========00MEDICAIDNEBRASKA
19=========67MEDICAIDNEBRASKA
2010025004100MEDICAIDNEBRASKA
21=========06MEDICAIDNEBRASKA

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: 4/28/2024

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.