Healthcare Provider Details

I. General information

NPI: 1073678439
Provider Name (Legal Business Name): NEIL A HAMILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 NO. 190TH PLAZA SUITE 2400
ELKHORN NE
68022-3986
US

IV. Provider business mailing address

PO BOX 2797
OMAHA NE
68103-2797
US

V. Phone/Fax

Practice location:
  • Phone: 402-815-1970
  • Fax: 402-815-1595
Mailing address:
  • Phone: 402-354-4230
  • Fax: 402-354-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25558
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number25558
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: