Basic Information
| Provider Information | |||||||||
| NPI: | 1255306130 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STOHS | ||||||||
| FirstName: | GENE | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6050 VILLAGE DR | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685164732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024218581 | ||||||||
| FaxNumber: | 4024218594 | ||||||||
| Practice Location | |||||||||
| Address1: | 6050 VILLAGE DR | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685164732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024218581 | ||||||||
| FaxNumber: | 4024218594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2006 | ||||||||
| LastUpdateDate: | 06/09/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 14741 | NE | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 03238 | 01 | NE | BLUE CROSS NEBRASKA | OTHER | 2146 | 01 | NE | MIDLANDS CHOICE | OTHER |