Wahoo Family & Sports Medicine, P.C.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

179 Issued in NE

Legal business name

WAHOO FAMILY & SPORTS MEDICINE, P.C.

Practice address

567 W 15TH St
Wahoo, NE 68066-1280

Phone

(402) 443-4600

Fax

(402) 443-4670

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Louise Shirley

Title

Office Manager

Phone

(402) 443-4600

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Karel, PA

  • Medical Physician Assistant
  • Friend, NE
  • NPI 1841201258
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1427315654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-443-4600",
            "fax_number": "402-443-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-443-4600",
            "fax_number": "402-443-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHOO FAMILY & SPORTS MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-443-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "179",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NE",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vogt Pharmacies Inc (Wahoo Pharmacy and Gifts)
• Vogt Pharmacies Inc (Christensen Drug)
• Mark A Vogt
• VSL Wahoo LLC (South Haven)
• Wahoo Dental Associates, P.C.
• Wahoo Man LLC (Medicine Man Pharmacy)
• Wahoo Man LLC (Medicine Man Pharmacy)
• Wahoo Medical P.C.
• Wahoo Public Schools
• Wahoo Spine and Sport Chiropractic, P.C.

• Sports Medicine (Family Medicine) Physician in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Sports Medicine (Family Medicine) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.