Organization Active NPI

Ppa Clinics LLC

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1477889129
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.