Heibel Dermatology Clinic LLC
Dermatology in Lincoln, NE. Organization (NPI-2).
NPI number1073679940
StatusActive
Last updated in NPPESDec 11, 2014
Details
- NPI
- 1073679940
- Entity type
- Organization (NPI-2)
- Legal business name
- Heibel Dermatology Clinic LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Dec 11, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 18056 | NE | Yes |
| 207NI0002X | Dermatology, Clinical & Laboratory Dermatological Immunology | 18056 | NE | |
| 207NS0135X | Dermatology, Procedural Dermatology | 18056 | NE | |
| 207ND0900X | Dermatology, Dermatopathology | 18056 | NE | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 18056 | NE | |
| 207NP0225X | Dermatology, Pediatric Dermatology | 18056 | NE |
Practice location
7701 Preserve LnLincoln, NE 68516-4473
Phone 402-488-6969 · Fax 402-488-6911
Mailing address
7701 Preserve LnLincoln, NE 68516-4473
Phone 402-488-6969 · Fax 402-488-6911
Authorized official
Mark D Heibel
MD
4024886969
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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