Provider Demographics
NPI:1265498661
Name:EMERGENCY CLINICIANS ASSOCIATES, LLC
Entity Type:Organization
Organization Name:EMERGENCY CLINICIANS ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP HEAD/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHADD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-680-7348
Mailing Address - Street 1:PO BOX 31058
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-0058
Mailing Address - Country:US
Mailing Address - Phone:866-898-7142
Mailing Address - Fax:616-975-9824
Practice Address - Street 1:6901 N 72ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1709
Practice Address - Country:US
Practice Address - Phone:402-572-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2091OtherCAPE
512680OtherHAP
EP820055OtherMCARE
P90518OtherBCN
CD3275OtherRR MCR
1002726-0003OtherWELLNESS PLAN
CD3275OtherRR MCR
NE=========-00Medicaid