ROGER W. NUTT, M.D.,P.C.
NPI 1891914602
Clinic/Center - Medical Specialty in Norfolk, NE

Active since April 24, 2007
710 S 13TH ST, SUITE 1200, NORFOLK, NE 68701(402) 370-4570 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About ROGER W. NUTT, M.D.,P.C.

This page provides the complete NPI Profile along with additional information for Roger W. Nutt, M.d.,p.c., a provider established in Norfolk, Nebraska operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1891914602 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 15072 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Roger Wayne Nutt M.d. (President)

NPI
1891914602 Verify this NPI
Provider Name
ROGER W. NUTT, M.D.,P.C.
Entity Type
Organization
Location Address
710 S 13TH ST SUITE 1200 NORFOLK, NE 68701
Location Phone
(402) 370-4570
Mailing Address
710 S 13TH ST SUITE 1200 NORFOLK, NE 68701
Mailing Phone
(402) 370-4570
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
05-20-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
15072
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROGER WAYNE NUTT M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 344-4907

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D25507MEDICARE UPIN (02)AZ 
22287MEDICARE ID-TYPE UNSPECIFIED (04)AZ 
251778MEDICAID (05)AZ 

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
710 S 13TH ST, STE1200
NORFOLK, NE 68701
Psychiatry & Neurology (Addiction Psychiatry)
710 S 13TH ST, STE 900
NORFOLK, NE 68701
Counselor (Mental Health)
710 S 13TH ST, STE 900 #174
NORFOLK, NE 68701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891914602, enumerated as an "organization" on April 24, 2007.

The provider is located at 710 S 13TH ST SUITE 1200 NORFOLK, NE 68701 and the phone number is (402) 370-4570.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.