Provider Demographics
NPI:1871861609
Name:NAGI T AYOUB MD PC
Entity Type:Organization
Organization Name:NAGI T AYOUB MD PC
Other - Org Name:WESTFIELD PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGI
Authorized Official - Middle Name:T
Authorized Official - Last Name:AYOUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-829-6384
Mailing Address - Street 1:9900 NICHOLAS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2249
Mailing Address - Country:US
Mailing Address - Phone:402-829-6384
Mailing Address - Fax:402-829-6495
Practice Address - Street 1:9900 NICHOLAS ST
Practice Address - Street 2:STE 300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2249
Practice Address - Country:US
Practice Address - Phone:402-829-6384
Practice Address - Fax:402-829-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty