MEDICARE: DR. JOSEPH BUTLER THIBODEAU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	37479	IA
2	207RC0000X	Cardiovascular Disease Physician	24077	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37479	OTHER	IA	MEDICAL LICENSE
2	24077	OTHER	NE	MEDICAL LICENSE

General Provider Information

NPI Number	:	1316973381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH BUTLER THIBODEAU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3755
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68103-0755
Country	:	US
Telephone Number	:	402-354-2100
Fax Number	:	402-354-2155

Provider Business Practice Location Address
First Line	:	1120 N 103RD PLZ STE 100
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-1119
Country	:	US
Telephone Number	:	402-391-5055
Fax Number	:	402-391-5053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/18/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1902800287 — JOHN C. SHEHAN M.D.
Practice Location Address:

1120 N 103RD PLZ STE 102
OMAHA, NE
68114-1119

Practice Phone: 402-354-0220
Practice Fax: 402-354-0225

1245232305 — PATRICK GLEN MEYERS M.D.
Practice Location Address:

1120 N 103RD PLZ STE 102
OMAHA, NE
68114-1119

Practice Phone: 402-354-0220
Practice Fax: 402-354-0225

1932189453 — DR. JOHN T BATTER M.D.
Practice Location Address:

1120 N 103RD PLZ STE 200
OMAHA, NE
68114-1119

Practice Phone: 402-354-0400
Practice Fax: 402-354-0425

1558331777 — DR. THOMAS J LANGDON M.D.
Practice Location Address:

1120 N 103RD PLZ STE 200
OMAHA, NE
68114-1119

Practice Phone: 402-354-0400
Practice Fax:

1447295084 — JILL R SELZLE PA
Practice Location Address:

1120 N 103RD PLZ STE 200
OMAHA, NE
68114-1119

Practice Phone: 402-354-0400
Practice Fax:

Directions to “ DR. JOSEPH BUTLER THIBODEAU M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.