Healthcare Provider Details

I. General information

NPI: 1225190226
Provider Name (Legal Business Name): ROBERT THOMAS BYINGTON MD OBGYN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530S 70TH ST 100
LINCOLN NE
68506-1567
US

IV. Provider business mailing address

1530 S 70TH STREET STE 100
LINCOLN NE
68506
US

V. Phone/Fax

Practice location:
  • Phone: 402-488-2348
  • Fax: 402-488-2463
Mailing address:
  • Phone: 402-488-2359
  • Fax: 402-488-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12372
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: