Organization
NEW CENTURY PHYSICIANS OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G HOLTZCLAW MD (OWNER)
(856) 686-4316
Entity
Organization
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8000
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10041654
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020455400
FEDERAL BLACK LUNG
NE
05
—
0717264
—
IA
05
—
100251217-00
—
NE
01
—
203413200
EEOICP
NE
01
—
CK8681
RRMEDICARE GRP NUMBER
NE
Enumeration date
07/18/2005
Last updated
12/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us