Provider Demographics
NPI:1497036651
Name:OSTEOARTHRITIS ASSOCIATES OF NEBRASKA, LLC
Entity Type:Organization
Organization Name:OSTEOARTHRITIS ASSOCIATES OF NEBRASKA, LLC
Other - Org Name:OSTEOARTHRITIS CENTERS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-706-6027
Mailing Address - Street 1:14440 F ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1007
Mailing Address - Country:US
Mailing Address - Phone:402-934-8255
Mailing Address - Fax:
Practice Address - Street 1:14440 F ST
Practice Address - Street 2:SUITE 121
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1007
Practice Address - Country:US
Practice Address - Phone:402-934-8255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE601207Q00000X
NE3024225100000X
NE111325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty