MD WEST ONE PC NPI 1588616767

NPI Information

  • NPI: 1588616767
  • Provider Name: MD WEST ONE, PC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • :
  • Address: 8005 FARNAM DR STE 305
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 390-4111

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NPI Details

MD WEST ONE, PC is a neurological surgery in Omaha, NE. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. MD WEST ONE, PC NPI is 1588616767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

8005 FARNAM DR STE 305
OMAHA, NE
ZIP 68114-426
Phone: (402) 390-4111
Fax: (402) 390-4115

The provider's authorized official is Jennifer Fredricks .
The authorized official title is Business Office Supervisor and has the following contact phone number (402) 361-5670.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/3/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2363AS0400XPhysician AssistantSurgicalNo
3207L00000XAnesthesiologyNo
4207X00000XOrthopaedic SurgeryNo
5208VP0014XPain MedicineInterventional Pain MedicineNo
6225X00000XOccupational TherapistNo
7207XS0106XOrthopaedic SurgeryHand SurgeryNo
8363L00000XNurse PractitionerNo
9225100000XPhysical TherapistNo
10332B00000XDurable Medical Equipment & Medical SuppliesNo
11363A00000XPhysician AssistantNo
12207T00000XNeurological SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CO4224OTHERRR MEDICARE
20532945MEDICAIDIOWA

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: 11/21/2025

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