Healthcare Provider Details

I. General information

NPI: 1851470553
Provider Name (Legal Business Name): NMG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 01/06/2025
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 W NORFOLK AVE STE D
NORFOLK NE
68701-9211
US

IV. Provider business mailing address

3901 W NORFOLK AVE STE D
NORFOLK NE
68701-9211
US

V. Phone/Fax

Practice location:
  • Phone: 402-844-8000
  • Fax: 402-844-8047
Mailing address:
  • Phone: 402-844-8000
  • Fax: 402-844-8047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIN PIERCE
Title or Position: PRESIDENT
Credential: MD
Phone: 402-844-8048