Provider Demographics
NPI:1447576293
Name:PIPERIS INTERVENTIONAL PAIN CARE PC
Entity Type:Organization
Organization Name:PIPERIS INTERVENTIONAL PAIN CARE PC
Other - Org Name:PETER N PIPERIS MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-991-6559
Mailing Address - Street 1:1111 N 102ND CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2248
Mailing Address - Country:US
Mailing Address - Phone:402-991-6559
Mailing Address - Fax:402-991-3552
Practice Address - Street 1:1111 N 102ND CT
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2248
Practice Address - Country:US
Practice Address - Phone:402-991-6559
Practice Address - Fax:402-991-3552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21283208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6394380001Medicare NSC
NA1574Medicare PIN