IndividualActive
Stephen Raynor, MD
NPI 1104876507 · Pediatric Surgery Physician · Omaha, NE
Provider details
- NPI number
- 1104876507
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16699 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Children'S Hospital - Pediatric Surgery
8200 Dodge Street
Omaha, NE 68114-4113
Phone: (402) 955-7400
Fax: (402) 955-7405
Approximate (ZIP-level) locationGet directions
Mailing address
Children'S Hospital
Omaha, NE 68114-4113
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.