Provider Demographics
NPI:1588742472
Name:HILGERS, THOMAS WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:HILGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:WILLIAM
Other - Last Name:HILGERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6901 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2621
Mailing Address - Country:US
Mailing Address - Phone:402-390-6600
Mailing Address - Fax:402-390-9851
Practice Address - Street 1:6901 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2621
Practice Address - Country:US
Practice Address - Phone:402-390-6600
Practice Address - Fax:402-390-6600
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14033207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47067556113Medicaid
IA1916130Medicaid
NE095991HIMedicare ID - Type Unspecified
B90859Medicare UPIN