Provider Demographics
NPI:1184815706
Name:TERRENCE F. CIUREJ MD PC
Entity Type:Organization
Organization Name:TERRENCE F. CIUREJ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:CIUREJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-392-1030
Mailing Address - Street 1:7710 MERCY RD
Mailing Address - Street 2:STE 209
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2372
Mailing Address - Country:US
Mailing Address - Phone:402-392-1030
Mailing Address - Fax:402-392-0322
Practice Address - Street 1:7710 MERCY RD
Practice Address - Street 2:STE 209
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2372
Practice Address - Country:US
Practice Address - Phone:402-392-1030
Practice Address - Fax:402-392-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099637Medicare PIN
IAI14137Medicare PIN