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FAMILY EAR NOSE & THROAT CLINIC PC NPI 1750487427


NPI Information

NPI: 1750487427
Provider Name: FAMILY EAR NOSE & THROAT CLINIC PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 28D2228931

Address:
6751 N 72ND ST
SUITE 207
OMAHA, NE
ZIP 68122
Phone: (402) 572-3165
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FAMILY EAR NOSE & THROAT CLINIC PC is an otolaryngology in Omaha, NE. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. FAMILY EAR NOSE & THROAT CLINIC PC NPI is 1750487427. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6751 N 72ND ST
SUITE 207
OMAHA, NE
ZIP 68122-746
Phone: (402) 572-3165
Fax: (402) 572-3170

The provider's authorized official is Jill Dameier .
The authorized official title is Office Manager and has the following contact phone number (402) 572-3165.

The CLIA number assigned to this NPI record is 28D2228931 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/3/2013.


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
1231H00000XAudiologist221NEBRASKANo
2207Y00000XOtolaryngology14446NEBRASKAYes

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
1040001751OTHERRAILROAD MEDICARE INDIVIDUAL PTAN
206552OTHERIOWAMEDICARE GROUP PTAN
3DG0847OTHERRAILROAD MEDICARE LEGACY GROUP PTAN
4098004OTHERNEBRASKAMEDICARE GROUP PTAN
5263505OTHERNEBRASKAMEDICARE INDIVIDUAL PTAN FOR DR. PAUL SHERRERD
6801449MEDICARE UPINNEBRASKA
70782410001MEDICARE NSCNEBRASKA
8065520002OTHERIOWAAUDIOLOGIST-RUTH FARRINGTON PTAN

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: 4/28/2024

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