Organization
DERMATOLOGY SPECIALISTS OF OMAHA LLC
Active
Organization
DERMATOLOGY SPECIALISTS OF OMAHA LLC
Active
Other names
Dermatology Surgery Center Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAMITA K GILFORD (DIRECTOR OF BUSINESS OFFICE SERVICE)
(402) 763-1518
Entity
Organization
Contact information
Practice address
909 N 96TH ST STE 201, OMAHA, NE 68114-2508
(402) 330-4555
(402) 330-4626
Mailing address
909 N 96TH ST STE 201, OMAHA, NE 68114-2508
(402) 330-4555
(402) 330-4626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099992
MEDICARE GROUP
NE
05
—
10025555000
—
NE
Enumeration date
07/24/2007
Last updated
05/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up