Healthcare Provider Details

I. General information

NPI: 1194001057
Provider Name (Legal Business Name): JAMES P DEVNEY DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 NICHOLAS ST # 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: 402-502-9877
  • Fax: 402-905-4855
Mailing address:
  • Phone: 531-201-4026
  • Fax: 531-466-4698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES P DEVNEY
Title or Position: PRESIDENT
Credential: MD
Phone: 402-502-9877