Orthowest LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOWEST LLC

Doing business as

OrthoNebraska Clinics
OrthoWest

Practice address

7100 W Center Rd Ste 200
Omaha, NE 68106-2714

Phone

(402) 609-3000

NPI assigned

Jan 7, 2025

Last updated

Jun 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Wisdom

Title

Chief Revenue and Admin. Officer

Phone

(402) 609-1002

Specialties & licenses 12

Addresses

Other names 2

• OrthoNebraska Clinics Doing business as
• OrthoWest Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthowest LLC

  dba OrthoNebraska Clinics

  • Durable Medical Equipment & Medical Supplies
  • Elkhorn, NE
  • NPI 1033928668

  8921086893

  Same PAC ID
• Orthowest LLC

  dba OrthoNebraska Clinics

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1275641904

  8921086893

  Same PAC ID
• Orthowest LLC

  dba OrthoNebraska Clinics

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1548133697

  8921086893

  Same PAC ID
• Orthowest LLC

  dba OrthoNebraska Clinics

  • Durable Medical Equipment & Medical Supplies
  • Council Bluffs, IA
  • NPI 1992514517

  8921086893

  Same PAC ID

Locations

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amard Abcejo, DO

  • Sports Medicine (Family Medicine) Physician
  • Omaha, NE
  • NPI 1134571862
  NPD
• Sarah L. Anderson, PA

  • Physician Assistant
  • Omaha, NE
  • NPI 1285783969
  NPD
• Neil W Antonson, MD

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1962062828
  NPD
• Ryan Michael Arnold, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Omaha, NE
  • NPI 1225253214
  NPD
• Katie Christine Berky, MD

  • Pain Medicine (Anesthesiology) Physician
  • Omaha, NE
  • NPI 1376035170
  NPD
• Valerie J Bodlak-Harms, PAC

  • Physician Assistant
  • Omaha, NE
  • NPI 1346254265
  NPD
• Eric Kyes Bonness, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1194085514
  NPD
• David E Brown, MD

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1689680712
  NPD
• Nicholas B Bruggeman, M.D.

  • Orthopaedic Hand Surgery Physician
  • Omaha, NE
  • NPI 1497722763

  Orthopaedic Surgery

  NPD
• Charles F Burt, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Omaha, NE
  • NPI 1033186309
  NPD
• Jonathan E. Buzzell, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1215084199
  NPD
• Kendall E Cameranesi, PT

  • Physical Therapist
  • Omaha, NE
  • NPI 1366135659
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1073323606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S 144TH ST STE 212",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062714",
            "telephone_number": "402-609-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CHIEF REVENUE AND ADMIN. OFFICER",
        "authorized_official_telephone_number": "402-609-1002"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoNebraska Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoNebraska Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoWest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Omaha, NE
• Providers in Omaha, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.