Healthcare Provider Details

I. General information

NPI: 1699837682
Provider Name (Legal Business Name): HYPNOS ANESTHESIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 N 145TH ST
OMAHA NE
68154-1179
US

IV. Provider business mailing address

1805 N 145TH ST
OMAHA NE
68154-1179
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-6559
  • Fax: 402-991-3552
Mailing address:
  • Phone: 402-991-6559
  • Fax: 402-991-3552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number21283
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PETER N PIPERIS
Title or Position: PRESIDENT
Credential: MD
Phone: 402-991-6559