NPI 1023761814

MD West One, PC

Organisation Durable Medical Equipment & Medical Supplies Omaha, NE

Practice location

Address: 5908 S 142nd St, Omaha, NE 68137-2800
Phone: (402) 390-4111
Fax: (402) 399-8455
Mailing address: 8005 Farnam Dr STE 305, Omaha, NE 68114-3426

Authorised official

Name: Jennifer Maureen Fredricks
Title: Business Office Supervisor
Phone: (402) 361-5260

Registered specialties (3)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

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Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

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Registry record

NPI: 1023761814
Entity type: Organization
NPI issued: 1 Feb 2022
Record last updated: 1 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.