Individual provider · Type 1 NPI

Jordan Thomas-Casoglos Blough, MD

Plastic and Reconstructive Surgery Physician · Omaha, NE

NPI number 1861885428 Active

Practice location

16901 Lakeside Hills Ct
Omaha, NE 68130-2318

Call (248) 345-9097 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Surgery) Physician 2086S0105X37135 (NE)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X37135 (NE)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1861885428

Jordan Thomas-Casoglos Blough, MD's National Provider Identifier is 1861885428, issued on Mar 6, 2015. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Omaha, NE. The record was last updated on Sep 22, 2025.