Provider Demographics
NPI:1821018631
Name:SCHIMA, EDWARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:SCHIMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10020 NICHOLAS STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2188
Mailing Address - Country:US
Mailing Address - Phone:402-393-2023
Mailing Address - Fax:402-393-3244
Practice Address - Street 1:10020 NICHOLAS STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2188
Practice Address - Country:US
Practice Address - Phone:402-393-2023
Practice Address - Fax:402-393-3244
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE127942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE05-00231OtherSHARE ADVANTAGE LAKESIDE
NE01907OtherBC/BS GROUP
NE130005312OtherRR MEDICARE INDIVIDUAL
NE01681OtherBC/BS INDIVIDUAL
NE470542490OtherTRICARE GROUP
NE47054249012Medicaid
NE05-00004OtherSHARE ADVANTAGE - BERGAN
IA0959023OtherIOWA MEDICAID INDIVIDUAL
NE406OtherMIDLANDS CHOICE
IA0959023OtherIOWA MEDICAID INDIVIDUAL
NEB18112Medicare UPIN