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SUBURBAN WEST MEDICAL P.C. NPI 1083945646


NPI Information

NPI: 1083945646
Provider Name: SUBURBAN WEST MEDICAL, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2722 S 87TH ST
OMAHA, NE
ZIP 68124
Phone: (402) 397-2205
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SUBURBAN WEST MEDICAL, P.C. is a family medicine in Omaha, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBURBAN WEST MEDICAL, P.C. NPI is 1083945646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2722 S 87TH ST
OMAHA, NE
ZIP 68124-039
Phone: (402) 397-2205
Fax: (402) 397-0901

The provider's authorized official is Lee F Mcnamara .
The authorized official title is President and has the following contact phone number (402) 397-2205.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 1/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology10221NEBRASKANo
2207Q00000XFamily Medicine10221NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1508325948MEDICAIDNEBRASKA
2B67437MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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