Healthcare Provider Details

I. General information

NPI: 1588690663
Provider Name (Legal Business Name): PETER NICK PIPERIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
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 Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number21283
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: