| James V Ortman M.d. Pc | |
|
7823 Wakeley Plz Omaha NE 68114-3651 | |
| (402) 397-7040 | |
| Not Available |
| Full Name | James V Ortman M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7823 Wakeley Plz, Omaha, Nebraska |
| Authorized Official Name and Position | James V Ortman (OWNER) |
| Authorized Official Contact | 4023977040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James V Ortman M.d. Pc 7823 Wakeley Plz Omaha NE 68114-3651 Ph: (402) 397-7040 | James V Ortman M.d. Pc 7823 Wakeley Plz Omaha NE 68114-3651 Ph: (402) 397-7040 |
| NPI Number | 1407168313 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 10/20/2016 |
| Medicare PECOS PAC ID | 2062545064 |
|---|---|
| Medicare Enrollment ID | O20100728000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407168313 | NPI | - | NPPES |
| 34115 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 13125 (Nebraska) | Primary |
| Provider Name | James V Ortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154423085 PECOS PAC ID: 6507999505 Enrollment ID: I20100728000098 |
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