Capital City Pediatrics, LLC
Pediatrics in Lincoln, NE. Organization (NPI-2).
NPI number1457576464
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1457576464
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital City Pediatrics, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 208000000X | Pediatrics | 16292 | NE | Yes |
Practice location
7441 O StSuite 303
Lincoln, NE 68510-2468
Phone 402-483-6036 · Fax 402-483-6294
Mailing address
7441 O StSuite 303
Lincoln, NE 68510-2468
Phone 402-483-6036 · Fax 402-483-6294
Authorized official
Stacie R Bleicher
Physician
4024836036
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