Organization Active NPI

Westroads Rheumatology Associates PC

  • Rheumatology Physician
  • Omaha, NE
National Provider Identifier
1720485865
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
WESTROADS RHEUMATOLOGY ASSOCIATES PC
Practice address
10170 Nicholas St
Omaha, NE 68114-2174
Phone
(402) 391-3800
NPI assigned
Dec 3, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Pete Pornchaisiriarun
Title
It Director
Phone
40220333881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

10170 Nicholas St
Omaha, NE 68114-2174

Mailing address

643 N 98TH St # 253
Omaha, NE 68114-2370
Phone (402) 391-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1720485865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N 98TH ST # 253",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142370",
            "telephone_number": "402-391-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 NICHOLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142174",
            "telephone_number": "402-391-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTROADS RHEUMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "PORNCHAISIRIARUN",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "40220333881"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "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 Dec 30, 2014; 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.