Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wahoo Family & Sports Medicine, PC

Organization Family Medicine Physician · NPI 1427315654

Wahoo Family & Sports Medicine, PC provides Family Medicine Physician services in Wahoo, Nebraska. Licensed in Nebraska. Registered with an NPI since 2012.

Licensed in
NE
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

567 W 15th St
Wahoo, NE 68066-1280 Not confirmed with CMS for 14 years — call before visiting
Phone: (402) 443-4600
Fax: (402) 443-4670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 179 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 179 (NE)

Record details

NPI number1427315654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Shirley — Office Manager · (402) 443-4600
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012
Mailing address567 W 15th St, Wahoo, NE 68066-1280

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