Provider Demographics
NPI:1639114234
Name:NASS, OMAR (MD)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:NASS
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 1:7440 S 91ST ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-9797
Mailing Address - Country:US
Mailing Address - Phone:402-489-6555
Mailing Address - Fax:402-328-3770
Practice Address - Street 1:7440 S 91ST ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9797
Practice Address - Country:US
Practice Address - Phone:402-489-6555
Practice Address - Fax:402-328-3770
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23887207R00000X, 207RC0000X
FLME165258207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0739581Medicaid
NE10026072300Medicaid
NE10026072400Medicaid
NE47070592301Medicaid
NE47070592305Medicaid
NE47070592302Medicaid
NE10026072000Medicaid
NE10026072200Medicaid
NE10026072500Medicaid
NE10026072600Medicaid
KS200532170AMedicaid
NE47070592313Medicaid
NE47070592300Medicaid
NE47070592306Medicaid
NE47070592301Medicaid
NE10026072600Medicaid
H26649Medicare UPIN
NE10026072300Medicaid
NE47070592300Medicaid
NE47070592305Medicaid
NE280650Medicare PIN