Provider Demographics
NPI:1124058607
Name:HELKE, PATRICIA A (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:HELKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4460
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104
Mailing Address - Country:US
Mailing Address - Phone:866-491-5807
Mailing Address - Fax:913-491-0411
Practice Address - Street 1:16901 LAKESIDE HILLS CT
Practice Address - Street 2:ALEGENT LAKESIDE HOSPITAL
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-717-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE178282085R0202X
IA335872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1600525OtherUHC SHARE ALLIANCE
IA6972257Medicaid
BH6852101OtherIA CONTROLLED SUBSTANCE
NE03108OtherBCBS
14574OtherMIDLANDS
1600113OtherUHC SHARE ALLIANCE
IA19313OtherBCBS
IA5972257Medicaid
IA8972257Medicaid
IA3972257Medicaid
IA7972257Medicaid
BH0484193OtherDEA #
E46444Medicare UPIN
IA300111280Medicare PIN
BH6852101OtherIA CONTROLLED SUBSTANCE
IA5972257Medicaid
IA19313OtherBCBS
IA8972257Medicaid
1600113OtherUHC SHARE ALLIANCE