Provider Demographics
| NPI: | 1689628372 |
|---|---|
| Name: | NEBRASKA METHODIST HOSPITAL |
| Entity type: | Organization |
| Organization Name: | NEBRASKA METHODIST HOSPITAL |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE VICE PRESIDENT & COO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | STEVEN |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | GOESER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 402-354-4449 |
| Mailing Address - Street 1: | PO BOX 2797 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | OMAHA |
| Mailing Address - State: | NE |
| Mailing Address - Zip Code: | 68103-2797 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 402-354-4230 |
| Mailing Address - Fax: | 402-354-6171 |
| Practice Address - Street 1: | 8303 DODGE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | OMAHA |
| Practice Address - State: | NE |
| Practice Address - Zip Code: | 68114-4108 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 402-354-4000 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-19 |
| Last Update Date: | 2020-11-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education | Group - Multi-Specialty |
| No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
| No | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |
| No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
| No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | Group - Multi-Specialty |
| No | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NE | 00334 | Other | BCBS HOME HEALTH |
| NE | 1966 | Other | BCBS PERINATE/REPRO ENDO |
| NE | 7715 | Other | BCBS SLEEP LAB |
| NE | 81001 | Other | BCBS DIABETES |
| NE | 1859 | Other | BCBS DIAGNOSTICS |
| NE | 2977 | Other | BCBS PATHOLOGY |
| NE | 1959 | Other | BCBS ER & BEHAVIORAL |
| NE | 7750 | Other | BCBS CARDIOLOGY |
| NE | 1832 | Other | BCBS GEM CLINIC |
| NE | 2854 | Other | BCBS NEUROPSYCHOLOGY |
| NE | 6000044 | Other | UHC HOME HEALTH |
| NE | 7758 | Other | BCBS PHYSICAL MED & REHAB |
| NE | 086403 | Medicare ID - Type Unspecified | NMH PERINATOLOGY |
| NE | 086069 | Medicare ID - Type Unspecified | NMH SLEEP LAB |
| NE | 6000044 | Other | UHC HOME HEALTH |
| NE | 2854 | Other | BCBS NEUROPSYCHOLOGY |
| NE | 1832 | Other | BCBS GEM CLINIC |
| NE | 81001 | Other | BCBS DIABETES |
| NE | 095909 | Medicare ID - Type Unspecified | NMH CARDIO GROUP |
