Healthcare Provider Details

I. General information

NPI: 1386763274
Provider Name (Legal Business Name): MEGHAN BIXBY OAKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 S 142ND ST
OMAHA NE
68138-6804
US

IV. Provider business mailing address

2044 S 86TH AVE
OMAHA NE
68124-2134
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-4200
  • Fax:
Mailing address:
  • Phone: 402-881-2886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number4301087409
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: