WAHOO FAMILY & SPORTS MEDICINE, P.C. (NPI# 1427315654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427315654 |
| Entity Type | Organization |
| Organization Name | WAHOO FAMILY & SPORTS MEDICINE, P.C. |
| Practice Address |
567 W 15th St Wahoo NE 68066-1280 |
| Practice Telephone | 4024434600 |
| Practice Fax Number | 4024434670 |
| Mailing Telephone | 4024434600 |
| Mailing Fax Number | 4024434670 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | MRS. PAMELA LOUISE SHIRLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 4024434600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 179 | NE | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
179 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
567 W 15TH ST |
| City | WAHOO |
| State | NE |
| Zip Code | 68066-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676342 | Freidel Medical Associates | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2007-06-14 |
| 1083049746 | Wright Turn Lane PC | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2013-09-12 |
| 1700115987 | Wahoo Medical P.C. | Clinic/Center | 567 W 15th St, Wahoo, NE 68066-1280 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1235205238 | Larry Dean Swanson | Dentist | 427 North Broadway Street, Wahoo, NE 68066 | 2006-11-28 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| Find all providers in zip 68066 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055953 | New West Sports Medicine & Orthopaedic Surgery, P.C. | Family Medicine | 2810 W. 35th St, Kearney, NE 68845-2886 | 2006-05-27 |
| 1932201803 | Family and Sport Medicine, PC | Family Medicine | 918 20th Street, Gothenburg, NE 69138-1237 | 2006-09-02 |
| 1518913847 | Alan James Williamson | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-05-26 |
| 1821081365 | Sean Mullendore | Family Medicine | 3308 Samson Way, Suite 101, Bellevue, NE 68123-3194 | 2005-08-30 |
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| 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.