Physician Management Services of Nebraska, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN MANAGEMENT SERVICES OF NEBRASKA, LLC

Practice address

2222 S 16TH St Ste 435
Lincoln, NE 68502-3793

Phone

(888) 829-8550

NPI assigned

Jul 14, 2020

Organization subpart

Yes

Parent organization

VAXCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Brett Kenefick

Title

President

Phone

(888) 829-8550

Specialties & licenses 1

Addresses

Part of

Vaxcare Corporation

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vaxcare LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1316058217

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle G. Everhart Walsh, MD

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1265436216
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1740898907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 LAWTON RD STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 435",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023793",
            "telephone_number": "888-829-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN MANAGEMENT SERVICES OF NEBRASKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAXCARE CORPORATION",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "KENEFICK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-829-8550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center PC
• Physical Therapy Connection and Nursing Services, Inc.
• Physical Therapy Solutions PC
• Physical Therapy Solutions, PC
• Physician Management Services of Nebraska II, LLC
• Physicians, Inc. Associates
• Physiotherapy Associates Inc.
• Physiotherapy Associates, Inc.
• Physiotherapy Associates, Inc.
• Dominic J Piccolo, PAC

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.