Healthcare Provider Details

I. General information

NPI: 1790788172
Provider Name (Legal Business Name): JAMES P DEVNEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 NICHOLAS ST STE 310
OMAHA NE
68114-2186
US

IV. Provider business mailing address

9850 NICHOLAS ST STE 310
OMAHA NE
68114-2186
US

V. Phone/Fax

Practice location:
  • Phone: 531-201-4026
  • Fax: 531-466-4698
Mailing address:
  • Phone: 531-201-4026
  • Fax: 531-466-4698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number313
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number010613
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: