Roger Wayne Nutt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15072 Issued in AZ

Practice address

710 S 13TH St
Ste1200
Norfolk, NE 68701-5792

Phone

(402) 370-4570

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roger W. Nutt, M.D.,P.C.

  • Medical Specialty Clinic/Center
  • Norfolk, NE
  • NPI 1891914602
  NPD (past) Authorized official

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280620800000",
    "number": "1780689083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "address_2": "STE1200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015792",
            "telephone_number": "402-370-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "address_2": "STE1200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015792",
            "telephone_number": "402-370-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "ROGER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afua Duker Ntem-Mensah, M.D.
• Nancy Nunez
• Jose Luis Nuno, PA-C
• William Warren Nuss
• Chelsie Victoria Nutsch, NP-C
• Halli Nuttelmann
• Nuwest Medical Clinic, L.L.C
• Nye Meadows Inc
• Nye Meadows, Inc.
• Mary Bernadette O'Boyle

• Internal Medicine Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.