Provider Demographics
NPI:1255305744
Name:HOWARD, THOMAS CLEMENT (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CLEMENT
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 FARNAM ST
Mailing Address - Street 2:SUITE 490
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2806
Mailing Address - Country:US
Mailing Address - Phone:402-552-3015
Mailing Address - Fax:402-552-3028
Practice Address - Street 1:4242 FARNAM ST
Practice Address - Street 2:SUITE 490
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2806
Practice Address - Country:US
Practice Address - Phone:402-552-3015
Practice Address - Fax:402-552-3028
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE133552086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE275367Medicare PIN
NEB67783Medicare UPIN