1477687218 NPI number — CHILDREN'S HOSPITAL

Table of content: MICHAEL JOSEPH YANOSCHIK MD (NPI 1407349749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477687218 NPI number — CHILDREN'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILDREN'S HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477687218
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8200 DODGE ST
Provider Second Line Business Mailing Address:
CHILDREN'S HOSPITAL
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68114-4113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-955-5400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14421 DUPONT CT
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL - URGENT CARE - HARVEY OAKS
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68144-2100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-955-7200
Provider Business Practice Location Address Fax Number:
402-955-7250
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARNA
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR - REIMB & MANAGED CARE
Authorized Official Telephone Number:
402-955-6775

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 283691 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6600200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: D02979 . This is a "BCBS" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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