Basic Information
| Provider Information | |||||||||
| NPI: | 1750590683 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOLIN | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C. | ||||||||
| Address2: | 575 S. 70TH SUITE 200 | ||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685102471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024883322 | ||||||||
| FaxNumber: | 4024881172 | ||||||||
| Practice Location | |||||||||
| Address1: | NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C. | ||||||||
| Address2: | 575 S. 70TH SUITE 200 | ||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685102472 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024883322 | ||||||||
| FaxNumber: | 4024881172 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 09/03/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0117X | 24148 | NE | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 390200000X | 0116018276 | VA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
ID Information
| ID | Type | State | Issuer | Description | 47070309913 | 05 | NE | MEDICAID |