Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wahoo Family & Sports Medicine, PC

Organization Family Medicine Physician · NPI 1427315654

Wahoo Family & Sports Medicine, PC is a Family Medicine Physician 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
Phone: (402) 443-4600
Fax: (402) 443-4670
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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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