Mid America Ear, Nose & Throat Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

11860 Issued in NE

Legal business name

MID AMERICA EAR, NOSE & THROAT CLINIC, PC

Doing business as

Wallace E Duff, MD

Practice address

7710 Mercy Rd Ste 205
Omaha, NE 68124-2346

Phone

(402) 393-1454

Fax

(402) 393-3725

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wallace E Duff, M.D.NPI 1467446799

Title

Doctor/President/Owner

Phone

(402) 393-1454

Specialties & licenses 1

Addresses

Other names 1

• Wallace E Duff, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• Wallace E Duff, M.D.

  • Specialist
  • Omaha, NE
  • NPI 1467446799

  Single Specialty

  Medicare reassignment NPD Authorized official
• Stephen B. Kammerer, H.I.S.

  • Hearing Instrument Specialist
  • Omaha, NE
  • NPI 1346481793
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1952573081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242346",
            "telephone_number": "402-393-1454",
            "fax_number": "402-393-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242346",
            "telephone_number": "402-393-1454",
            "fax_number": "402-393-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA EAR, NOSE & THROAT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-393-1454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "11860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace E Duff, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Mick
• Haley Lynn Micka, CCC-SLP
• Jason John Mickels, M.D.
• Mary Mickels
• Kiara Mickles
• Mid South Hearing LLC
• Mid South Hearing LLC
• Mid-City OB-GYN, P.C.
• Midamerica Cardiovascular Institute P.C.
• Andrea Midder, RN

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.