Healthcare Provider Details

I. General information

NPI: 1265743892
Provider Name (Legal Business Name): KATHERINE ELISE GOGELA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 11/16/2025
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 S 62ND ST STE 100
LINCOLN NE
68516-3558
US

IV. Provider business mailing address

5625 S 62ND ST STE 100
LINCOLN NE
68516-3558
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-3834
  • Fax: 402-489-5049
Mailing address:
  • Phone: 402-489-3834
  • Fax: 402-489-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.123239
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29845
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: