Provider Demographics
NPI:1316994825
Name:NEBRASKA ORTHOPAEDIC ASSOCIATES LLP
Entity type:Organization
Organization Name:NEBRASKA ORTHOPAEDIC ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:X
Authorized Official - Last Name:GOEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-637-0400
Mailing Address - Street 1:2725 S 144TH ST
Mailing Address - Street 2:#110
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5243
Mailing Address - Country:US
Mailing Address - Phone:402-637-0400
Mailing Address - Fax:402-637-0401
Practice Address - Street 1:2725 S 144TH ST
Practice Address - Street 2:#110
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5243
Practice Address - Country:US
Practice Address - Phone:402-637-0400
Practice Address - Fax:402-637-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025238600Medicaid
IACK8121OtherRAILROAD MEDICARE
NECS8783OtherRAILROAD MEDICARE
NE10025238600Medicaid
NE=========12Medicaid
NE10025238600Medicaid
NE=========20Medicaid
IAI8352Medicare PIN