Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omaha Nephrology PC

Organization Nephrology Physician · NPI 1053407064

Omaha Nephrology PC is a Nephrology Physician in Omaha, Nebraska. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 N 102nd Ct Ste 200
Omaha, NE 68114-2194
Phone: (402) 502-2747
Fax: (402) 502-2387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1053407064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Goldner — Authorized Official · (402) 502-2747
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 10, 2019
Mailing address1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194

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