Organization
EMERGENCY CLINICIANS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHADD SHUFF MD (GROUP HEAD/PHYSICIAN)
(402) 680-7348
Entity
Organization
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2225
Mailing address
PO BOX 31058, OMAHA, NE 68131-0058
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002726-0003
WELLNESS PLAN
—
01
—
2091
CAPE
—
01
—
512680
HAP
—
01
—
CD3275
RR MCR
—
01
—
EP820055
MCARE
—
01
—
P90518
BCN
—
Enumeration date
04/25/2006
Last updated
09/09/2021
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