Individual
GEORGE J EMODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19818
NE
207X00000X
Orthopaedic Surgery Physician
30702
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0964650
—
IA
05
—
10025486000
—
NE
05
—
1922028323
—
IA
01
—
200020731
RAILROAD MEDICARE
—
01
—
30641
BCBS
NE
05
—
47060320813
—
NE
05
—
47068731742
—
NE
05
—
47068731751
—
NE
05
—
47068731795
—
NE
05
—
47068731799
—
NE
01
—
90987
BCBS
IA
Enumeration date
07/20/2006
Last updated
12/13/2023
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