Healthcare Provider Details

I. General information

NPI: 1750226957
Provider Name (Legal Business Name): DMG PROFESSIONAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13417 BOYD ST
OMAHA NE
68164-6004
US

IV. Provider business mailing address

13417 BOYD ST
OMAHA NE
68164-6004
US

V. Phone/Fax

Practice location:
  • Phone: 402-616-4811
  • Fax:
Mailing address:
  • Phone: 402-616-4811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS M GUY
Title or Position: PRESIDENT
Credential: MD
Phone: 402-616-4811