Healthcare Provider Details

I. General information

NPI: 1306764493
Provider Name (Legal Business Name): PAIGE HARWELL, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

12337 DOUGLAS CIR
OMAHA NE
68154-2329
US

IV. Provider business mailing address

12337 DOUGLAS CIR
OMAHA NE
68154-2329
US

V. Phone/Fax

Practice location:
  • Phone: 316-655-3133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAIGE HARWELL
Title or Position: MD
Credential: MD
Phone: 316-655-3133