Active NPI
Wesley Alan Stephens, R.R.T.
- Geriatric Medicine (Family Medicine) Physician
- Omaha, NE
National Provider Identifier
1598883407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 1110
- Practice address
- 10905 Cottonwood LN
Omaha, NE 68164-3715 - Phone
- (402) 884-6465
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 1110 | NE | Primary |
Addresses
Primary practice location
10905 Cottonwood LN
Omaha, NE 68164-3715
Mailing address
10905 Cottonwood LN
Omaha, NE 68164-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110 | NE | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598883407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10905 COTTONWOOD LN",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10905 COTTONWOOD LN",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643715",
"telephone_number": "402-884-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "WESLEY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "R.R.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NE",
"license": "1110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.