Healthcare Provider Details

I. General information

NPI: 1700979705
Provider Name (Legal Business Name): SCOTT WESLEY HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/19/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CAPEHART RD
OFFUTT AFB NE
68113-1043
US

IV. Provider business mailing address

815 VALENTINE LN
PAPILLION NE
68046-6237
US

V. Phone/Fax

Practice location:
  • Phone: 402-232-8647
  • Fax:
Mailing address:
  • Phone: 402-557-6144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5490
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: