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Contact Information

SCOTT P WATTENHOFER, MD
515 N 162ND AVE
SUITE 300
OMAHA, NE68118-2539
 Phone: 402-393-6624
 Fax: 402-393-6635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SCOTT P WATTENHOFER · (Male)

NPI Number 1215911813
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2005
Last updated 08/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 31435
  • NE License # 18497
  • IA Medicaid 1215911813
  • NE Medicaid 10025724800
  • NE Medicaid 10026135000
  • NE Medicaid 10026135100
Hospital affiliation(s)
  • JENNIE EDMUNDSON HOSPITAL - (Acute Care)
    933 EAST PIERCE STREET
    COUNCIL BLUFFS, IA 51503
  • MEMORIAL COMMUNITY HOSPITAL - (Critical Access)
    810 NORTH 22ND ST
    BLAIR, NE 68008
  • THE NEBRASKA METHODIST HOSPITAL - (Acute Care)
    8303 DODGE ST
    OMAHA, NE 68114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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