Healthcare Provider Details

I. General information

NPI: 1871785741
Provider Name (Legal Business Name): MIDAMERICAN CENTER FOR ORTHOPEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 16TH ST STE 220
LINCOLN NE
68502-3764
US

IV. Provider business mailing address

PO BOX 23138
LINCOLN NE
68542-3138
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-4900
  • Fax: 402-489-4930
Mailing address:
  • Phone: 402-489-4900
  • Fax: 402-489-4930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL J SAMANI
Title or Position: PRESIDENT
Credential: MD
Phone: 402-489-4900