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OMAHA EAR NOSE & THROAT CLINIC PC
NPI 1922268341
Otolaryngology in Omaha, NE

Active since June 10, 2008CLIA 28D2040050 · Waiver
17410 BURKE ST STE 200, OMAHA, NE 68118(402) 758-5330(402) 758-5339 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Omaha Ear Nose & Throat Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAHA EAR NOSE & THROAT CLINIC PC (NPI 1922268341) is a healthcare organization registered as an otolaryngology in Omaha, Nebraska and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Lynn Andersen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922268341
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameOMAHA EAR NOSE & THROAT CLINIC PC
Location Address17410 BURKE ST STE 200Omaha, NE 68118-2250
Mailing Address17410 Burke St Ste 200Omaha, NE 68118-2250 · (402) 758-5330 · Fax (402) 758-5339
Phone(402) 758-5330
Fax(402) 758-5339
Organization SubpartNo
Authorized OfficialLynn AndersenAdministrator · (402) 758-5330
Enumeration DateJune 10, 2008
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1922268341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
17410 BURKE ST STE 200, Omaha, NE 68118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2040050

Omaha Ear Nose & Throat Clinic PC · Omaha, NE
Active · expires Apr 19, 2028
CLIA Number28D2040050
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorDr. Ann L. Edmunds
Laboratory Phone(402) 758-5330
Laboratory LocationOmaha Ear Nose & Throat Clinic PC17410 Burke Street, Suite 200, Omaha, NE 68118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN M FERNAU AU. D
Audiologist
17410 BURKE ST STE 200
OMAHA, NE 68118
Douglas County (402) 758-5330
ERIN RACHEL TERVEER RDH, PHRDH
Specialist
17410 BURKE ST STE 200
OMAHA, NE 68118
Douglas County (402) 915-2233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omaha Ear Nose & Throat Clinic PC's NPI number?

The NPI number for Omaha Ear Nose & Throat Clinic PC is 1922268341. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Omaha Ear Nose & Throat Clinic PC located?

Omaha Ear Nose & Throat Clinic PC is located at 17410 Burke St Ste 200, Omaha, NE 68118. The listed phone number is (402) 758-5330.

What is Omaha Ear Nose & Throat Clinic PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Omaha Ear Nose & Throat Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2040050) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omaha Ear Nose & Throat Clinic PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Omaha Ear Nose & Throat Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omaha Ear Nose & Throat Clinic PC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.