DR. JASON JOHN MICKELS


Address: 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375
Phone: 4026911560

DR. JASON JOHN MICKELS (NPI# 1164497806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164497806
Entity Type Individual
Full Name DR. JASON JOHN MICKELS
Credential M.D.
Practice Address 11704 W Center Rd
Ste 200
Omaha
NE 68144-4375
Practice Telephone 4026911560
Practice Fax Number 4025056249
Mailing Telephone 4026911560
Mailing Fax Number 4025056249
Enumeration Date 2006-02-17
Last Update Date 2008-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
23524 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE RR MEDICARE P00326801 01
IA IA MEDICAID 999334 01
NE NE MEDICAL LICENSE 23524 01
NE NE MEDICAID 47053349212 01
NE NE MEDICARE GROUP 093431 01
NE RR MEDICARE GROUP CJ6643 01

Office Location

Street Address 11704 W CENTER RD
STE 200
City OMAHA
State NE
Zip Code 68144-4375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932173770 Peter Monaco Cimino Orthopaedic Surgery 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 2006-02-16
1629515085 Andrew Wakin Nurse Practitioner 11704 W Center Rd, Suite 103 A, Omaha, NE 68144-4375 2017-01-24
1922453984 Claire E Hulett Physical Therapy Assistant 11704 W Center Rd, Suite #200, Omaha, NE 68144-4375 2016-04-27
1710038534 Outpatient Surgical Specialties Center, LLC Clinic/Center 11704 W Center Rd, Suite 110, Omaha, NE 68144-4375 2007-01-16
1295816759 Alegent Health Bergan Mercy Health Center Clinic/Center 11704 W Center Rd, Omaha, NE 68144-4375 2006-10-18
1447343405 Thomas James Dobleman Otolaryngology 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 2006-10-02
1699868596 Ear Nose & Throat - Head and Neck Surgery P.C. Otolaryngology 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 2006-10-02
1831206978 Kevin P Reagan Internal Medicine 11704 W Center Rd, Suite 210, Omaha, NE 68144-4375 2006-08-24
1093759920 Mary G Stroesser Occupational Therapist 11704 W Center Rd, Suite 200, Omaha, NE 68144-4375 2006-06-14
1780625475 James J Sevcik Physical Therapist 11704 W Center Rd, Ste. 100, Omaha, NE 68144-4375 2006-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720627292 Jessica Wissink Physical Therapist 2275 South 132nd St, Omaha, NE 68144 2020-01-02
1881165397 Elle Klink Chiropractor 2527 S 140th Street, Omaha, NE 68144 2018-12-10
1336649987 Colton A Palmer Nurse Practitioner 11725 Arbor St Ste 230, Omaha, NE 68144 2018-02-20
1780121335 Deborah Palmer Massage Therapist 2429 South 120th, Omaha, NE 68144 2017-01-20
1750833851 Amanda Mcgary Tatro Counselor 11929 Elm St Suite 12a, Omaha, NE 68144 2016-10-25
1770946105 Kindis Ward Counselor 13435 A. Street, Omaha, NE 68144 2016-04-02
1649679937 Brian Douglas Smith Physical Therapist 13934 Gold Circle, Omaha, NE 68144 2014-08-22
1346587334 Elite Professionals Home Care LLC Home Health 13306 A Street, Omaha, NE 68144 2013-01-10
1821345471 Angelia D Henderson Skilled Nursing Facility 2525 S. 135th Ave, Omaha, NE 68144 2012-08-13
1073872123 Midwest Physical Therapy Services, PC Physical Therapist 11640 Arbor Street #200, Omaha, NE 68144 2012-05-10
Find all providers in zip 68144

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013946318 Robert M Cochran Orthopaedic Surgery 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154-4428 2006-07-01
1366739625 Gangadasu Reddy Orthopaedic Surgery 601 N 30th St, Omaha, NE 68131-2128 2011-07-06
1316971781 David Clough Orthopaedic Surgery 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 2006-07-10
1245280361 Nils A Nystrom Orthopaedic Surgery 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 2006-05-11
1992770614 Richard Phillip Murphy Orthopaedic Surgery 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952492845 Dolf R Ichtertz Orthopaedic Surgery 716 N Alpha St, Grand Island, NE 68803-4318 2006-09-27
1912544628 Ntm Consulting PC Orthopaedic Surgery 3500 Central Ave Ste A, Kearney, NE 68847-2963 2019-12-02
1508197435 Nebraska Hand & Shoulder Institute, P.C. Orthopaedic Surgery 716 N Alpha St, Grand Island, NE 68803-4318 2010-01-15
1184797110 Tristan Layton Hartzell Orthopaedic Surgery 301 N 27th St, Suite 2, Norfolk, NE 68701-4401 2006-11-16
1912916594 Daniel B Cullan II Orthopaedic Surgery 575 S 70th St Ste 200, Lincoln Ne 68510, Lincoln, NE 68510-2471 2006-08-05

Competitor

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City OMAHA
Zip Code 68144

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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