Innoneph LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INNONEPH LLC

Practice address

17410 Burke St Ste 105
Omaha, NE 68118-2250

Phone

(531) 444-4757

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Jeremy Patrick Pepin, MD

Title

MD / Ceo & President

Phone

(605) 890-6456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1215719794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021857",
            "telephone_number": "712-796-2545",
            "fax_number": "844-717-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 BURKE ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182250",
            "telephone_number": "531-444-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNONEPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MD / CEO & PRESIDENT",
        "authorized_official_telephone_number": "605-890-6456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Nephrology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.