Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316517642 Individual Practitioner Male Practitioner

Dr. Sterling Garnell Blackham , DO

Pediatrics • Elkhorn, NE

Professional Overview & Biography Verified Profile Summary

Dr. Sterling Blackham, DO is a registered healthcare professional specializing in Pediatrics in Elkhorn, NE. Practice services are available at 717 N 190TH PLZ STE 3100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

717 N 190th Plz Ste 3100

Elkhorn, NE 680223988

Telephone 4028151325
Fax 4028152020
Associated Practice Facility / Clinic
🏢 Physicians Clinic, Inc. Facility NPI 1790874790

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Elkhorn, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Elkhorn, NE (396 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 2772

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License UT 14280681-1204

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

672 W 400 S Ste 101

Springville, UT 846633170

Phone: 8014919883

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1134326572

Doctor of Medicine (M.D.)

Joli Hallowell , PA-C

Physician Assistant

NPI 1275990905

Physician Assistant (Certified)

NPI 1497866883

Doctor of Medicine (M.D.)

NPI 1508976762

Doctor of Medicine (M.D.)

NPI 1770696858

Doctor of Medicine (M.D.)

NPI 1851507933

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Pediatrics (License #14280681-1204 in UT)

📍
Updated Practice Location November 27, 2024

Registered at 717 N 190TH PLZ STE 3100, ELKHORN, NE 680223988 (Tel: 4028151325)

📍
Updated Business Mailing Address November 27, 2024

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 4023542100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Pediatrics (License #2772 in NE)

NPI Profile Active June 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2021

Registered at 982185 NEBRASKA MEDICAL CTR, OMAHA, NE 681982185 (Tel: 4025595380)

📍
Updated Business Mailing Address June 29, 2021

Registered at 982185 NEBRASKA MEDICAL CTR, OMAHA, NE 681982185 (Tel: 4025595380)

👤
Provider Name / Credentials Updated June 29, 2021

Recorded as STERLING BLACKHAM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2021

Pediatrics (License #9181 in NE)

🟢
Initial NPI Registration & Enumeration June 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316517642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2021
Last Update: April 27, 2026
Sole Proprietor: No

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 4023542100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.