DR. JEFFREY COLLINS POPP MD NPI 1417924051

NPI Information

NPI: 1417924051
Provider Name: DR. JEFFREY COLLINS POPP, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
11919 GRANT ST
SUITE 100
OMAHA, NE
ZIP 68164
Phone: (402) 391-4558
Get Directions

DR. Jeffrey Collins Popp, MD is a plastic and reconstructive surgery surgery in Omaha, NE with 45 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jeffrey Collins Popp, MD NPI is 1417924051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

11919 GRANT ST
SUITE 100
OMAHA, NE
ZIP 68164-475
Phone: (402) 391-4558
Fax: (402) 391-7401

The NPI 1417924051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	15046	NEBRASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	497	OTHER		MIDLANDS CHOICE
2	B67895	MEDICARE UPIN
3	095556	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA
4	03330	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD
5	47069713300	MEDICAID	NEBRASKA

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

NPI Synchronization or Removal

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