MICHAEL D WILMOT NPI 1629014717

NPI Information

NPI: 1629014717
Provider Name: MICHAEL D WILMOT
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
7500 MERCY RD
ALEGENT BERGAN MERCY DEPT OF RADIOLOGY
OMAHA, NE
ZIP 68124
Phone: (402) 398-5890
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Michael D Wilmot is a diagnostic radiology radiology in Omaha, NE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael D Wilmot NPI is 1629014717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7500 MERCY RD
ALEGENT BERGAN MERCY DEPT OF RADIOLOGY
OMAHA, NE
ZIP 68124-319
Phone: (402) 398-5890

The enumeration date for this NPI number is 6/20/2006 and was last updated on 3/7/2023.

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	2085R0202X	Radiology	Diagnostic Radiology	13524	NEBRASKA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	21241	IOWA	No

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	6973347	MEDICAID	IOWA
2	7973347	MEDICAID	IOWA
3	1600518	OTHER		UHC SHARE ALLIANCE
4	5973347	MEDICAID	IOWA
5	1042	OTHER		MIDLANDS
6	8973347	MEDICAID	IOWA
7	BW6851326	OTHER		IA CONTROLLED SUBSTANCE
8	01572	OTHER	NEBRASKA	BCBS
9	2973347	MEDICAID	IOWA
10	19055	OTHER	IOWA	BCBS
11	1600004	OTHER		UHC SHARE ALLIANCE

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

NPI Synchronization or Removal

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