NPI 1417474602
Momenta Pain Care, LLC
Practice location
- Address
- 1805 N 145th St, Omaha, NE 68154
- Phone
- (402) 991-6559
- Fax
- (402) 991-3552
- Mailing address
- 1805 N 145th St, Omaha, NE 68154-1179
Authorised official
- Name
- Shelly Ross
- Title
- Billing Manager
- Phone
- (531) 283-5138
Registered specialties (2)
Pain Medicine Physician
Primary
Interventional Pain Medicine Physician
Registry record
- NPI
- 1417474602
- Entity type
- Organization
- NPI issued
- 28 Aug 2017
- Record last updated
- 4 Dec 2023
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.