Active NPI 1871857219 Individual Practitioner Male Practitioner

Dr. Christopher John Corder , MD

Urology • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Corder, MD is a certified Urology practicing in Omaha, NE. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Corder delivers high-quality medical care to the local community at 983280 NEBRASKA MEDICAL CTR.

Dr. Corder maintains professional affiliations with Urology Center Pc, Franciscan Care Services Inc, Unmc Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, testosterone undecanoate, 1 mg, low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

983280 Nebraska Medical Ctr

Omaha, NE 681983280

Telephone 4025595510

Associated Practice Facility / Clinic

🏢 University Of Nebraska Medical Center Facility NPI 1316063894

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Omaha, NE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -7.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 36.8 Yrs

Regional Practice Density

56 Specialists

Practicing in Omaha, NE (89 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Corder (14 Years) 14 Yrs

Omaha Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3145 Injection, testosterone undecanoate, 1 mg	25,575	12	$3.42	$1.87
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,746	19	$1.80	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	217	$291.00	$116.95
81003 Automated urinalysis test	271	219	$6.00	$2.19
36415 Insertion of needle into vein for collection of blood sample	238	177	$13.00	$8.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	163	$290.71	$89.73
84153 Psa (prostate specific antigen) measurement, total	166	130	$66.00	$18.02
51798 Ultrasound measurement of bladder capacity after voiding	163	132	$83.00	$9.92
99213 Established patient office or other outpatient visit, typically 15 minutes	115	105	$196.00	$83.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	113	71	$45.00	$15.27
52000 Diagnostic exam of bladder and urethra using an endoscope	101	90	$591.00	$69.93
81001 Manual urinalysis test with examination using microscope, automated	100	79	$8.00	$3.07
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	97	76	$45.00	$15.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	16	$67.00	$13.16
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$196.00	$60.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$446.00	$152.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$446.00	$122.22
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	35	35	$2398.51	$654.93
76872 Ultrasound scan of pelvic region through rectum	35	33	$105.00	$30.25
55700 Biopsy of prostate gland	31	31	$654.00	$114.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	14	$1814.50	$142.12
74176 Ct scan of abdomen and pelvis without contrast	24	24	$387.00	$95.48
76872 Ultrasound scan of pelvic region through rectum	22	22	$357.00	$125.95
74178 Ct scan of abdomen and pelvis before and after contrast	18	17	$970.00	$229.24
55700 Biopsy of prostate gland	16	16	$654.00	$218.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$291.00	$97.03
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$715.00	$135.62
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$591.00	$207.30
74018 X-ray of abdomen, 1 view	15	14	$76.00	$27.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$1551.92	$415.07
J0696 Injection, ceftriaxone sodium, per 250 mg	14	14	$8.00	$0.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$118.00	$51.83
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$4196.00	$831.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3145 Injection, testosterone undecanoate, 1 mg	33,750	12	$1.83	$1.77
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,707	33	$1.80	$0.15
81003 Automated urinalysis test	373	297	$6.00	$2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	222	$291.00	$117.88
36415 Insertion of needle into vein for collection of blood sample	268	203	$13.00	$8.37
51798 Ultrasound measurement of bladder capacity after voiding	203	163	$83.00	$9.49
84153 Psa (prostate specific antigen) measurement, total	182	148	$66.00	$18.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	123	$291.00	$91.09
99213 Established patient office or other outpatient visit, typically 15 minutes	142	127	$196.00	$82.82
52000 Diagnostic exam of bladder and urethra using an endoscope	120	96	$591.00	$72.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	18	$67.00	$13.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$446.00	$153.28
99213 Established patient office or other outpatient visit, typically 15 minutes	76	67	$196.00	$61.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$446.00	$124.05
81001 Manual urinalysis test with examination using microscope, automated	49	43	$8.00	$3.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	22	$1919.18	$158.10
74176 Ct scan of abdomen and pelvis without contrast	40	37	$387.00	$97.34
76872 Ultrasound scan of pelvic region through rectum	30	30	$105.00	$30.52
52000 Diagnostic exam of bladder and urethra using an endoscope	30	29	$591.00	$208.87
55700 Biopsy of prostate gland	29	29	$654.00	$117.36
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	26	26	$2395.00	$640.60
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	20	$1349.61	$374.31
74178 Ct scan of abdomen and pelvis before and after contrast	23	23	$970.00	$230.19
74018 X-ray of abdomen, 1 view	20	16	$76.00	$27.56
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$715.00	$135.62
76872 Ultrasound scan of pelvic region through rectum	14	14	$357.00	$126.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$392.00	$165.49
55700 Biopsy of prostate gland	13	13	$654.00	$220.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$373.00	$120.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3145 Injection, testosterone undecanoate, 1 mg	30,750	12	$1.83	$1.67
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,680	25	$1.80	$0.11
81003 Automated urinalysis test	325	261	$6.00	$2.18
36415 Insertion of needle into vein for collection of blood sample	264	192	$13.00	$2.96
51798 Ultrasound measurement of bladder capacity after voiding	211	162	$83.00	$9.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	169	$291.00	$118.50
99213 Established patient office or other outpatient visit, typically 15 minutes	199	171	$196.00	$84.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	137	$291.00	$93.03
84153 Psa (prostate specific antigen) measurement, total	170	137	$66.00	$18.15
52000 Diagnostic exam of bladder and urethra using an endoscope	126	101	$591.00	$72.60
99213 Established patient office or other outpatient visit, typically 15 minutes	100	85	$196.00	$63.11
81001 Manual urinalysis test with examination using microscope, automated	89	69	$8.00	$3.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	18	$67.00	$13.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$446.00	$155.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$446.00	$127.10
76872 Ultrasound scan of pelvic region through rectum	36	36	$105.00	$31.03
55700 Biopsy of prostate gland	36	36	$654.00	$119.53
74176 Ct scan of abdomen and pelvis without contrast	28	26	$387.00	$99.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$291.00	$101.75
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	18	$1696.96	$138.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$118.00	$50.27
76872 Ultrasound scan of pelvic region through rectum	21	21	$357.00	$130.81
74178 Ct scan of abdomen and pelvis before and after contrast	20	20	$970.00	$237.30
52281 Dilation of bladder canal (urethra) using an endoscope	20	16	$862.00	$123.50
55700 Biopsy of prostate gland	20	20	$654.00	$225.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$1178.33	$351.85
J0696 Injection, ceftriaxone sodium, per 250 mg	17	17	$8.00	$0.50
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$715.00	$137.66
74018 X-ray of abdomen, 1 view	15	15	$76.00	$28.16
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2395.00	$663.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$392.00	$168.68
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	12	11	$849.00	$246.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,350	22	$1.80	$0.12
81003 Automated urinalysis test	230	191	$6.00	$2.23
36415 Insertion of needle into vein for collection of blood sample	225	170	$13.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	188	163	$196.00	$85.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	138	$291.00	$123.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	130	$291.00	$96.02
84153 Psa (prostate specific antigen) measurement, total	163	126	$66.00	$18.39
52000 Diagnostic exam of bladder and urethra using an endoscope	154	135	$591.00	$74.58
99213 Established patient office or other outpatient visit, typically 15 minutes	150	126	$196.00	$64.48
51798 Ultrasound measurement of bladder capacity after voiding	141	112	$83.00	$9.30
81001 Manual urinalysis test with examination using microscope, automated	129	98	$8.00	$3.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$446.00	$130.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$446.00	$158.80
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	31	31	$2418.23	$687.79
74176 Ct scan of abdomen and pelvis without contrast	27	26	$387.00	$105.22
55700 Biopsy of prostate gland	26	25	$654.00	$123.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	20	$1233.20	$384.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	16	$1831.76	$118.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$291.00	$105.95
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	20	$715.00	$142.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$373.00	$128.72
76872 Ultrasound scan of pelvic region through rectum	17	16	$105.00	$32.24
74178 Ct scan of abdomen and pelvis before and after contrast	16	15	$970.00	$258.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$291.00	$80.22
74018 X-ray of abdomen, 1 view	11	11	$76.00	$27.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$118.00	$53.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,601	16	$1.80	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	178	135	$194.38	$48.91
99213 Established patient office or other outpatient visit, typically 15 minutes	117	90	$196.00	$69.89
81003 Automated urinalysis test	102	83	$6.00	$2.22
52000 Diagnostic exam of bladder and urethra using an endoscope	101	89	$592.51	$76.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	74	$290.63	$74.29
81001 Manual urinalysis test with examination using microscope, automated	97	70	$8.00	$3.15
51798 Ultrasound measurement of bladder capacity after voiding	86	70	$83.00	$9.26
36415 Insertion of needle into vein for collection of blood sample	84	61	$13.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$291.00	$102.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$443.68	$125.07
84153 Psa (prostate specific antigen) measurement, total	42	28	$66.00	$18.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$446.00	$155.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$286.90	$72.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$291.00	$102.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	23	$721.04	$146.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$392.00	$108.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	18	$1169.02	$376.58
55700 Biopsy of prostate gland	17	17	$655.68	$123.34
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2402.23	$702.38
76872 Ultrasound scan of pelvic region through rectum	16	16	$105.26	$32.29
74176 Ct scan of abdomen and pelvis without contrast	12	12	$387.00	$95.81
74178 Ct scan of abdomen and pelvis before and after contrast	12	11	$970.00	$247.93
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$3144.18	$718.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,781	28	$1.80	$0.11
51798 Ultrasound measurement of bladder capacity after voiding	131	92	$83.00	$11.41
81001 Manual urinalysis test with examination using microscope, automated	125	93	$8.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	113	89	$194.41	$66.77
81003 Automated urinalysis test	105	83	$6.00	$2.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$445.11	$152.42
36415 Insertion of needle into vein for collection of blood sample	61	43	$13.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	57	51	$594.56	$75.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$291.00	$99.73
99213 Established patient office or other outpatient visit, typically 15 minutes	38	29	$160.95	$48.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$118.00	$41.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$291.00	$101.49
84153 Psa (prostate specific antigen) measurement, total	29	19	$66.00	$20.03
74178 Ct scan of abdomen and pelvis before and after contrast	26	25	$970.00	$228.37
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$1536.22	$111.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$383.67	$121.20
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$744.85	$143.60
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2423.36	$692.16
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$706.04	$111.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	56	43	$83.00	$14.31
81001 Manual urinalysis test with examination using microscope, automated	47	42	$8.00	$3.76
81003 Automated urinalysis test	42	36	$6.00	$2.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$291.00	$99.76
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$196.00	$68.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$446.00	$153.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$118.00	$38.40
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1271.95	$384.79
36415 Insertion of needle into vein for collection of blood sample	17	16	$13.00	$2.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$732.06	$135.50
52000 Diagnostic exam of bladder and urethra using an endoscope	17	17	$596.98	$75.74
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$169.00	$48.36

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NE 6822

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Surgery

NUCC Taxonomy Code: 208600000X

State License NE 6822

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Unmc Physicians

2500 Bellevue Medical Ctr Dr, Bellevue, NE 681231591

Phone: 4027633035

Franciscan Care Services Inc

430 N Monitor St, West Point, NE 687881595

Phone: 4023722404

Urology Center Pc

933 E Pierce St, Council Bluffs, IA 515034626

Phone: 7123966000

Franciscan Care Services Inc

430 N Monitor St, West Point, NE 687881595

Urology Center Pc

111 S 90th St, Omaha, NE 681143907

Phone: 4023979800

Unmc Physicians

Emile 42nd St, Omaha, NE 681980001

Phone: 4025594015

Unmc Physicians

987400 Nebraska Medical Ctr, Omaha, NE 681987400

Phone: 4025594000

Urology Center Pc

2301 Eastern Ave, Red Oak, IA 515661300

Phone: 7126237000

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Joshua Belle , MBBS

Surgery

NPI 1043692494

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Paul Nguyen-Lee , MD

Student in an Organized Health Care Education/Training Program

NPI 1063142727

Doctor of Medicine (M.D.)

Dr. Matthew Fuglestad , MD

Surgery

NPI 1083097836

Doctor of Medicine (M.D.)

Dr. Sara Cartwright , DO

Surgery

NPI 1134613904

Doctor of Osteopathic Medicine (D.O.)

Dr. Gautam Malhotra , MD, PhD

Surgery

NPI 1154703692

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Elizabeth Maginot , MD

Student in an Organized Health Care Education/Training Program

NPI 1205566817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2012

Registered at 983280 NEBRASKA MEDICAL CTR, OMAHA, NE 681983280 (Tel: 4025595510)

📍

Updated Business Mailing Address June 29, 2012

Registered at 120 S 31ST AVE, UNIT 5202, OMAHA, NE 681311481 (Tel: 6308359406)

👤

Provider Name / Credentials Updated June 29, 2012

Recorded as CHRISTOPHER CORDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Surgery (License #6822 in NE)

🟢

Initial NPI Registration & Enumeration June 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871857219

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 29, 2012

Last Update: June 29, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 S 31st Ave, Unit 5202

Omaha, NE 681311481

Phone: 6308359406

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

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