Omaha Orthopedic Clinic & Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OMAHA ORTHOPEDIC CLINIC & SPORTS MEDICINE PC

Practice address

11704 W Center Rd
Ste 200
Omaha, NE 68144-4375

Phone

(402) 691-0500

Fax

(402) 691-1586

NPI assigned

Feb 17, 2006

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter M Cimino, MDNPI 1932173770

Title

President

Phone

(402) 691-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

Enrollment records 2

Locations

Practitioners 30

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.

• Peter Monaco Cimino, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1932173770
  Medicare reassignment Care Compare group NPD Authorized official
• Ian D Crabb, MD

  • Orthopaedic Surgery Physician
  • Columbus, NE
  • NPI 1972517944
  Medicare reassignment Care Compare group NPD
• Jason John Mickels, M.D.

  • Orthopaedic Hand Surgery Physician
  • Omaha, NE
  • NPI 1164497806

  IA

  Medicare reassignment Care Compare group NPD
• James J Sevcik, PT

  • Physical Therapist
  • Omaha, NE
  • NPI 1780625475
  Medicare reassignment Care Compare group NPD
• Michael J Morrison, M.D.

  • Orthopaedic Surgery Physician
  • Shenandoah, IA
  • NPI 1326030859

  NE

  Medicare reassignment Care Compare group
• Aaron R Braun, MD

  • Vascular & Interventional Radiology Physician
  • Omaha, NE
  • NPI 1821251083
  Medicare reassignment NPD
• Paul S Christy, MD

  • Vascular & Interventional Radiology Physician
  • Omaha, NE
  • NPI 1639283096
  Medicare reassignment NPD
• Michael John Coffey, M.D.

  • Orthopaedic Hand Surgery Physician
  • Omaha, NE
  • NPI 1215138607

  IA, Orthopaedic Surgery

  Medicare reassignment NPD
• Brandy M Armijo, ST

  • Surgical Technologist
  • Omaha, NE
  • NPI 1780196584
  NPD (past)
• Kathleen Ann Baker, OT

  • Occupational Therapist
  • Springfield, NE
  • NPI 1104959725
  NPD (past)
• Froylan Barrera, PTA

  • Physical Therapy Assistant
  • Omaha, NE
  • NPI 1851751812
  NPD (past)
• Stephen Brown, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elkhorn, NE
  • NPI 1801827431
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1497720155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "address_2": "STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-691-0500",
            "fax_number": "402-691-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "address_2": "STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-691-0500",
            "fax_number": "402-691-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA ORTHOPEDIC CLINIC & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-691-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omaha One Opco LLC (Adept Nursing & Rehab of Midtown)
• Omaha Operations LLC
• Omaha Opportunities Industrialization Center (Zenith Counseling Services)
• Omaha Oral Surgery, LLC
• Omaha Orthodontics LLC (McIntyre and Morrison Orthodontics)
• Omaha Orthopedic Physical Therapy (Dundee Orthopedic Physical Therapy)
• Omaha Pain Management Center Inc
• Omaha Pain Specialists, LLC
• Omaha Periodontics and Implant Dentistry LLC (Omaha Periodontics)
• Omaha Physical Therapy Institute, PC

• Orthopaedic Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthopaedic Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.