MIDWEST PAIN CLINIC PC; NPI #1043482094

Contact Information

MIDWEST PAIN CLINIC PC

825 N 90TH ST
OMAHA, NE 68114-2702

Phone: 402-391-7246
Fax: 402-408-1783
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management
Family	363LF0000X	50	Nurse Practitioner
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Pain Medicine	208VP0000X	72	Physician/Pain Management
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MIDWEST PAIN CLINIC PC

NPI # 1043482094

LBN Legal business name MIDWEST PAIN CLINIC PC

Authorized official MAUREEN MAHONEY - (CREDENTIALING SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/31/2008

Last updated 09/12/2024 - More than a year ago

Identifiers

IA	Medicaid	263940
NE	Medicaid	NA1054
SD	Medicaid	S104099

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MIDWEST PAIN CLINIC PC

Contact Information

Specialty

Interventional Pain Medicine

Family

Pain Medicine

Pain Medicine

Pain Medicine

Physician Assistant

NPI Profile & details for MIDWEST PAIN CLINIC PC

Reviews for MIDWEST PAIN CLINIC PC