Active NPI
Midwest Pathology Specialists PLC
Doing business as None
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
National Provider Identifier
1194789867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- MIDWEST PATHOLOGY SPECIALISTS PLC
- Doing business as
- None
- Practice address
- 4955 F Street
Omaha, NE 68117 - Phone
- (402) 717-2875
- Fax
- (402) 717-5231
- NPI assigned
- Apr 12, 2006
- Last updated
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wayne Penka, MD
- Title
- Billing Specialist
- Phone
- (402) 717-2875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
4955 F Street
Omaha, NE 68117
Mailing address
PO Box 4907
Omaha, NE 68104
Phone (800) 831-2402
Other names 1
- None
National Provider Directory
National Provider DirectoryLocations
4955 F St
Omaha, NE 68117
Phone (402) 717-2871
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1417093279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1194789867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4907",
"city": "OMAHA",
"state": "NE",
"postal_code": "68104",
"telephone_number": "800-831-2402",
"fax_number": "843-569-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 F STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68117",
"telephone_number": "402-717-2875",
"fax_number": "402-717-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PATHOLOGY SPECIALISTS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "PENKA",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "402-717-2875",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "None",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
- Midwest Orthopedics PC
- Midwest Orthopedics, P.C.
- Midwest Orthotic & Technology Center Omaha, LLC (Trust Orthotic Technologies)
- Midwest Pain Clinic PC (Advanced Spine And Joint Care of Nebraska)
- Midwest Pain Clinics LLC
- Midwest Physical Therapy Services, PC
- Midwest Regional Epilepsy Associates PC
- Midwest Regional Health Services LLC
- Midwest Rehabilitation, LLC
- Midwest Sleep Docs, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.