Individual
DR. RAYMOND J TADDEUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S 70TH ST STE 100, LINCOLN, NE 68510-7901
(402) 441-4760
(402) 441-4764
Mailing address
1001 S 70TH ST STE 100, LINCOLN, NE 68510-7901
(402) 441-4760
(402) 441-4764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23735
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722496
—
IA
01
—
1701125
UHC - SURGICAL ASSOC
NE
05
—
200632720A
—
KS
05
—
209884402
—
MO
01
—
250827
MIDLANDS - PROMED
NE
01
—
30806
BCBS - PROMED
NE
01
—
38140
BCBS - SURGICAL ASSOC
NE
01
—
68510A005
WPS/TRIWEST - SURGICAL
NE
01
—
P00331861
RRM
—
Enumeration date
04/21/2006
Last updated
03/15/2021
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