Organization
ORTHOWEST LLC
Active
Organization
ORTHOWEST LLC
Active
Other names
OrthoWest, OrthoNebraska Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L WISDOM (CFO)
(402) 609-1002
Entity
Organization
Contact information
Practice address
2725 SOUTH 144TH STREET, SUITE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0852
Mailing address
2725 SOUTH 144TH STREET, SUITE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0852
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554683
—
IA
01
—
CJ8687
MEDICARE RAILROAD
NE
01
—
CJ8688
MEDICARE RAILROAD
IA
Enumeration date
08/25/2006
Last updated
07/08/2025
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