Active NPI
Ppa Clinics LLC
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1477889129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PPA CLINICS LLC
- Doing business as
- PPA Clinic for GOP
- Practice address
- 4828 S 24TH St
Omaha, NE 68107-2769 - Phone
- (402) 552-3377
- Fax
- (402) 552-3266
- NPI assigned
- Oct 29, 2009
- Organization subpart
- Yes
- Parent organization
- PPA CLINICS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann F Ashford, JD
- Title
- Director and Corporate Counsel
- Phone
- (402) 552-3377
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
4828 S 24TH St
Omaha, NE 68107-2769
Mailing address
4239 Farnam St
#326
Omaha, NE 68131-2868
Phone (402) 552-3377
Other names 1
- PPA Clinic for GOP
National Provider Directory
National Provider Directory- Part of
- Ppa Clinics LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256774400000",
"number": "1477889129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 FARNAM ST",
"address_2": "#326",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312868",
"telephone_number": "402-552-3377",
"fax_number": "402-552-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 S 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681072769",
"telephone_number": "402-552-3377",
"fax_number": "402-552-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PPA CLINICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PPA CLINICS LLC",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A",
"authorized_official_last_name": "ASHFORD",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR AND CORPORATE COUNSEL",
"authorized_official_telephone_number": "402-552-3377",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PPA Clinic for GOP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.