Kyle Rotherham, PA-C
Kyle Rotherham, PA-C is a Physician Assistant in Omaha, Nebraska. Graduated from Creighton University School of Medicine in 2022, 4 years ago. Practices with MD West One PC, a 85-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.
- Years since qualifying
- 4
- Trained at
- Creighton University School of Medicine
- Licensed in
- IA, NE
- In the registry since
- 2023
- Specialties on file
- 4
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
8005 Farnam Dr Ste 305Omaha, NE 68114-3426
Phone: (402) 390-4111
Fax: (402) 390-4115
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 2867 (NE) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 1204103 (NE) |
| Physician Assistant | Taxonomy 363A00000X · Licence 2867 (NE) |
| Physician Assistant | Taxonomy 363A00000X · Licence 118173 (IA) |
Record details
| NPI number | 1780397018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | January 2, 2023 |
| Last updated in NPPES | October 30, 2025 |
| Certification date | October 30, 2025 |
| Mailing address | 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Md West One Pc — 85 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Omaha
-
Mr. Gene T Omoto, PA
16120 W Dodge Rd, Omaha, NE 38118 · (402) 354-0707
-
Sally Plihal
4101 Woolworth Ave, Omaha, NE 68105-1850 · (402) 346-8800
-
Charles S Pugsley, PA-C
8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 · (402) 390-4111
-
Emily E. Rossman, PA-C
8303 Dodge St Ste 304, Omaha, NE 68114-4108 · (402) 354-5048
-
Margaret J Rubin, PA-C
16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 · (402) 717-6870
-
Teresa Z Ryan, DNP, APRN-NP
8200 Dodge St, Omaha, NE 68114-4113 · (402) 955-4200
-
David D Siebels, PA-C
8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 · (402) 390-4111
-
Rebecca J Siecke, PA
8200 Dodge Street Children's Hospital - Cardiothoracic Surgery, Omaha, NE 68114-4113 · (402) 955-4360