Provider Demographics
NPI:1225124803
Name:PITTS, NATHAN ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:ARNOLD
Last Name:PITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13130 N 73RD PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1971
Mailing Address - Country:US
Mailing Address - Phone:402-552-3022
Mailing Address - Fax:402-552-3266
Practice Address - Street 1:16901 LAKESIDE HILLS CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2318
Practice Address - Country:US
Practice Address - Phone:402-552-3022
Practice Address - Fax:402-552-3266
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE25130207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE05647OtherBCBS
NE10025166200Medicaid
NE099600013Medicare PIN