Healthcare Provider Details

I. General information

NPI: 1669392023
Provider Name (Legal Business Name): ERIC M CLEMENTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3908 N 138TH ST
OMAHA NE
68164-5009
US

IV. Provider business mailing address

3908 N 138TH ST
OMAHA NE
68164-5009
US

V. Phone/Fax

Practice location:
  • Phone: 402-493-6777
  • Fax: 402-493-7909
Mailing address:
  • Phone: 402-659-3792
  • Fax: 402-493-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC MICHAEL CLEMENTS
Title or Position: PRESIDENT
Credential:
Phone: 402-493-6777