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Organization

OMAHA ORTHOPEDIC CLINIC & SPORTS MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER M CIMINO MD (PRESIDENT)
(402) 691-0500
Entity
Organization

Contact information

Practice address
11704 W CENTER RD, STE 200, OMAHA, NE 68144-4375
(402) 691-0500
(402) 691-1586
Mailing address
11704 W CENTER RD, STE 200, OMAHA, NE 68144-4375
(402) 691-0500
(402) 691-1586

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09283
IA
01
CJ6643
RR MEDICARE GROUP
NE
01
I16089
IA MEDICARE GROUP
IA
Enumeration date
02/17/2006
Last updated
02/04/2021
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