Provider Demographics
NPI:1194001057
Name:JAMES P DEVNEY DO PC
Entity Type:Organization
Organization Name:JAMES P DEVNEY DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:DEVNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-502-9877
Mailing Address - Street 1:9850 NICHOLAS ST # 310
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2186
Mailing Address - Country:US
Mailing Address - Phone:402-502-9877
Mailing Address - Fax:402-905-4855
Practice Address - Street 1:9850 NICHOLAS ST # 310
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2186
Practice Address - Country:US
Practice Address - Phone:402-502-9877
Practice Address - Fax:402-905-4855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty