# SCOTT J. FASSE, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679657423
- **Authorized official:** SCOTT J. FASSE M.D. (PRESIDENT)
- **Authorized official phone:** (402) 884-7218

## Contact information

- **Practice address:** 614 N 108TH CT, OMAHA, NE 68154-1762
- **Practice address phone:** (402) 884-7218
- **Practice address fax:** (402) 884-7589
- **Mailing address:** 614 N 108TH CT, OMAHA, NE 68154-1762
- **Mailing address phone:** (402) 884-7218
- **Mailing address fax:** (402) 884-7589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 09/11/2025