Provider Demographics
NPI:1346731759
Name:CARDIOVASCULAR CLINIC OF NEBRASKA
Entity Type:Organization
Organization Name:CARDIOVASCULAR CLINIC OF NEBRASKA
Other - Org Name:PIONEER HEART INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-450-2627
Mailing Address - Street 1:6940 VAN DORN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2858
Mailing Address - Country:US
Mailing Address - Phone:402-413-6363
Mailing Address - Fax:402-413-6691
Practice Address - Street 1:6940 VAN DORN ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2858
Practice Address - Country:US
Practice Address - Phone:402-414-4200
Practice Address - Fax:402-414-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty