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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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