Provider Demographics
NPI:1588690663
Name:PIPERIS, PETER NICK (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:NICK
Last Name:PIPERIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 N 145TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1179
Mailing Address - Country:US
Mailing Address - Phone:402-991-6559
Mailing Address - Fax:402-991-3552
Practice Address - Street 1:1805 N 145TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1179
Practice Address - Country:US
Practice Address - Phone:402-991-6559
Practice Address - Fax:402-991-3552
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21283207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE32003349700Medicaid
IA3110379Medicaid
NEF80718Medicare UPIN
IA3110379Medicaid