MEDICARE: COMPLETE ENDOCRINOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25490	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01189738	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1720328081	OTHER		GROUP NPI
3	28D2054224	OTHER	NE	CLIA

General Provider Information

NPI Number	:	1720328081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE ENDOCRINOLOGY, LLC

Provider Business Mailing Address
First Line	:	2200 S 40TH ST STE 102
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-2424
Country	:	US
Telephone Number	:	402-405-0500
Fax Number	:	402-405-0505

Provider Business Practice Location Address
First Line	:	2200 S 40TH ST STE 102
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-2424
Country	:	US
Telephone Number	:	402-405-0500
Fax Number	:	402-405-0505

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	SHANNON E WAKELEY
Credential	:	MD
Telephone Number	:	402-206-9104

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	03/07/2023

Similar Medicare Providers

1437081221 — GRACE CATHERINE SLOAN
Practice Location Address:

2200 S 40TH ST STE 102
LINCOLN, NE
68506-2424

Practice Phone: 402-413-0717
Practice Fax:

1245380120 — AARON JAY WARD MD
Practice Location Address:

2200 S 40TH ST STE 102
LINCOLN, NE
68506-2424

Practice Phone: 402-405-0500
Practice Fax: 402-405-0505

1679623516 — THE PHYSICIAN NETWORK
Practice Location Address:

2200 S 40TH ST , SUITE 101
LINCOLN, NE
68506-2424

Practice Phone: 402-486-3333
Practice Fax: 402-486-3349

1710540307 — VITALIZE HEALTH LLC
Practice Location Address:

2200 S 40TH ST STE 102
LINCOLN, NE
68506-2424

Practice Phone: 402-413-0717
Practice Fax: 402-951-9763

1962678599 — MS. KATHLEEN K HANLON LCSW
Practice Location Address:

8 S LINCOLN ST
BATAVIA, IL
60510-2424

Practice Phone: 630-761-9750
Practice Fax: 630-761-9752

1700686144 — PAUL STRONG
Practice Location Address:

2424 GARFIELD ST
LINCOLN, NE
68502-2931

Practice Phone: 402-498-4700
Practice Fax:

Directions to “COMPLETE ENDOCRINOLOGY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.