Dr. Jason John Mickels
Orthopaedic Hand Surgeon
11704 W Center Rd Ste 200
Omaha
, Nebraska 68144-4375
Dr. Jason John Mickels
Orthopaedic Hand Surgeon
11704 W Center Rd Ste 200
Omaha
, Nebraska 68144-4375
(402) 505-6249
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About
Features
Specialties
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason John Mickels
- 11704 W Center Rd Ste 200
- Omaha, NE
- Zip : 68144-4375
- Fax : (402) 505-6249
- Phone : (402) 691-1560
Second Address
- Dr. Jason John Mickels
- 11704 W Center Rd Ste 200
- Omaha, NE
- Zip : 68144-4375
- Fax : (402) 505-6249
- Phone : (402) 691-1560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0106X | Orthopaedic Hand Surgeon | 23524 | NE |
National Provider Identifier
| NPI | 1164497806 |
|---|---|
| Provider Name | Dr. Jason John Mickels |
| First Address | Omaha, NE 68144-4375 |
| Second Address | Omaha, NE 68144-4375 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 06/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 093431 | NE MEDICARE GROUP (01) | NE |
| 23524 | NE MEDICAL LICENSE (01) | NE |
| 47053349212 | NE MEDICAID (01) | NE |
| 999334 | IA MEDICAID (01) | IA |
| CJ6643 | RR MEDICARE GROUP (01) | NE |
| I55302 | (02) | NE |
| P00326801 | RR MEDICARE (01) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.