Organization
NORTHWEST ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN GOC MD (PRESIDENT)
(402) 778-9738
Entity
Organization
Contact information
Practice address
6901 N 72 STREET, OMAHA, NE 68122
(402) 572-2160
(402) 334-2849
Mailing address
PO BOX 31668, OMAHA, NE 68131-0668
(402) 778-9738
(402) 334-6833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IA
207L00000X
Anesthesiology Physician
Primary
—
NE
367500000X
Certified Registered Nurse Anesthetist
—
IA
367500000X
Certified Registered Nurse Anesthetist
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0597096
—
IA
05
—
0949701
—
IA
Enumeration date
08/25/2006
Last updated
04/23/2008
Update your record
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