Erik Thor Otterberg in Omaha - Adult Reconstructive Orthopaedic Surgery
Erik Thor Otterberg - NPI 1831157536
Erik Thor Otterberg is a Adult Reconstructive Orthopaedic Surgery in Omaha, Nebraska. Erik Thor Otterberg practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Erik Thor Otterberg is 1831157536. The last update date is 2011-06-08.
Erik Thor Otterberg's current location address is 17030 Lakeside Hills Plz, Omaha, Nebraska. You can contact this provider via phone number 4023998550 and fax number 4023998455. The mailing address for Erik Thor Otterberg is 17030 Lakeside Hills Plz, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erik Thor Otterberg |
|---|---|
| Address | 17030 Lakeside Hills Plz, Omaha, Nebraska |
| Phone Number | 4023998550 |
| Fax Number | 4023998455 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831157536 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | 17030 Lakeside Hills Plz |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681302396 |
| Phone Number | 4023998550 |
| Fax Number | 4023998455 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 21337 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09-01143 | NE | SHARE ADVANTAGE/ LAKESIDE | |
| 35110 | NE | MIDLANDS CHOICE | |
| 09-00253 | NE | SHARE ADVANTAGE/MERCY RD | |
| 3733 | NE | BCBS OF NEBRASKA | |
| 530154 | IA | -- | |
| 47063010113 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Erik Thor Otterberg by the Centers for Medicare & Medicaid Services?
The Erik Thor Otterberg has been issued the NPI (National Provider Identifier) 1831157536 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Erik Thor Otterberg's physical address?
The Erik Thor Otterberg is physically located at 17030 Lakeside Hills Plz, in the city of Omaha, NE, with the postal code 681302396.
What is Erik Thor Otterberg's area of expertise and its corresponding taxonomy classification?
The Erik Thor Otterberg's field of specialization is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their areas of practice.
On what date did Erik Thor Otterberg receive its 1831157536 assignment from the Centers for Medicare & Medicaid Services?
The Erik Thor Otterberg was assigned its 1831157536 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Erik Thor Otterberg last refreshed?
The information related to the Erik Thor Otterberg, including its address, specialty, and other relevant details, was last updated on 2011-06-08.
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