Basic Information
| Provider Information | |||||||||
| NPI: | 1013081199 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGAHA | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | LEAH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2412 CUMING ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681311601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027170380 | ||||||||
| FaxNumber: | 4027176059 | ||||||||
| Practice Location | |||||||||
| Address1: | 2412 CUMING ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681311601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027170380 | ||||||||
| FaxNumber: | 4027176059 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2003008011 | MO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 25971 | NE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.