Healthcare Provider Details

I. General information

NPI: 1194401059
Provider Name (Legal Business Name): NATHAN RYAN HOGENMILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981150 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-1150
US

IV. Provider business mailing address

981150 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-1150
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6637
  • Fax:
Mailing address:
  • Phone: 402-559-6637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD-56662
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: