Healthcare Provider Details

I. General information

NPI: 1619133550
Provider Name (Legal Business Name): PALLIATIVE CARE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 N 58TH ST
OMAHA NE
68132-2004
US

IV. Provider business mailing address

728 N 58TH ST
OMAHA NE
68132-2004
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-2846
  • Fax:
Mailing address:
  • Phone: 402-991-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number21491
License Number StateNE

VIII. Authorized Official

Name: DR. TODD MICHAEL SAUER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-991-2846