NPIMap

Organization Active NPI

Nebraska Pain Management Physicians PC

  • Interventional Pain Medicine Physician
  • Norfolk, NE
National Provider Identifier
1780039354
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
21621 Issued in NE
Legal business name
NEBRASKA PAIN MANAGEMENT PHYSICIANS PC
Practice address
2501 Lakeridge Dr
Suite 100
Norfolk, NE 68701-2558
Phone
(402) 316-4027
Fax
(402) 884-8751
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Kathy Ann Lamar
Title
Medical Billing Manager
Phone
(402) 884-3971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 21621 NE
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 21621 NE Primary

Addresses

Primary practice location

2501 Lakeridge Dr
Suite 100
Norfolk, NE 68701-2558

Mailing address

2501 Lakeridge Dr
Suite 100
Norfolk, NE 68701-2558
Phone (402) 316-4027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13602/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1780039354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-316-4027",
            "fax_number": "402-884-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-316-4027",
            "fax_number": "402-884-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA PAIN MANAGEMENT PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "LAMAR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "402-884-3971"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "21621",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "21621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.