NPI 1043482094 · live from the CMS NPI Registry
Midwest Pain Clinic PC
Pain Medicine, Interventional Pain Medicine in Omaha, NE. National Provider Identifier 1043482094, active.
NPI record
| NPI | 1043482094 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 825 N 90th St, Omaha, NE 68114 |
| Practice phone | 402-391-7246 |
| Enumerated | March 31, 2008 |
| Last updated | September 12, 2024 |
| Authorized official | Maureen Mahoney, Credentialing Specialist |
| Other names | Advanced Spine And Joint Care Of Nebraska |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| 208VP0000X | — | |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.