Suburban West Medical, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10221 Issued in NE

Legal business name

SUBURBAN WEST MEDICAL, P.C.

Practice address

2722 S 87TH St
Omaha, NE 68124-3039

Phone

(402) 397-2205

Fax

(402) 397-0901

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lee F McNamara, M.D.

Title

President

Phone

(402) 397-2205

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1083945646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 S 87TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243039",
            "telephone_number": "402-397-2205",
            "fax_number": "402-397-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 S 87TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243039",
            "telephone_number": "402-397-2205",
            "fax_number": "402-397-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN WEST MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "10221",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "10221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508325948",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.