# OMAHA FAMILY MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles Stoner, M.D. Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508053943
- **Authorized official:** CHARLES H. STONER JR. M.D. (PRESIDENT)
- **Authorized official phone:** (402) 991-7000

## Contact information

- **Practice address:** 17841 PIERCE PLZ, OMAHA, NE 68130
- **Practice address phone:** (402) 991-7000
- **Practice address fax:** (402) 991-7999
- **Mailing address:** 17841 PIERCE PLZ, OMAHA, NE 68130
- **Mailing address phone:** (402) 991-7000
- **Mailing address fax:** (402) 991-7999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20625 | NE | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10024979400 | — | NE |
| 05 | — | 100249794001 | — | NE |
| 01 | — | 2801010835 | CLIA | NE |