Active NPI
Midwest Surgical Hospital, L.L.C.
- Special Hospital
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- MIDWEST SURGICAL HOSPITAL, L.L.C.
- Practice address
- 7915 Farnam Dr.
Omaha, NE 68114-4504 - Phone
- (402) 399-1900
- NPI assigned
- May 10, 2007
- Last updated
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
7915 Farnam Dr.
Omaha, NE 68114-4504
Mailing address
6128 S Lyncrest Ave
Sioux Falls, SD 57108-2560
Phone (855) 327-6350
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025662300 | Medicaid | NE | |
| 613763400 | Other | NE | US DEPARTMENT OF LABOR |
| 1013122571 | Medicaid | IA | |
| 60236 | Other | NE | BLUE CROSS OF NEBRASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070829000588 | NE | Part A Provider - Hospital | 7113010646 | Practice locations: Omaha, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013122571. Details of each certification follow.
Hospital certification: CCN 280131
- Legal name
- MIDWEST SURGICAL HOSPITAL LLC
- Doing business as
- MIDWEST SURGICAL HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 31, 2008
- Last certification
- Sep 27, 2019
- Beds
- 19
- Ownership / control type
- Physician ownership
- Organization structure
- LLC
- Enrollment address
- 7915 Farnam Dr
Omaha, NE 68114-4504 - Hospital subgroups
- Acute care, Short-term
Care Compare: Hospital
Medicare Care Compare- Listed as
- Midwest Surgical Hospital LLC
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1078207 | Midwest Surgical Hospital, LLC | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0434cb5f-f658-4821-a9c3-c13cf287f39b/
- mwsurgical@msh.cernerdirect.com
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| SP Holdco I Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 51.1% |
| Jennifer B Baldock | Corporate Officer | Dec 31, 2021 | |
| SP Management Services Inc | Operational/Managerial Control | Dec 31, 2021 | |
| Gikk Investments LLC | 5% Or Greater Direct Ownership Interest | Oct 3, 2006 | 17.89% |
| Surgery Partners Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 51.1% |
| MWNS Surgical LLC | 5% Or Greater Direct Ownership Interest | Oct 4, 2006 | 16.89% |
| Surgery Center Holdings Inc | 5% Or Greater Direct Ownership Interest | Dec 31, 2021 | 51.1% |
| Other | Jan 26, 2022 | 49.9% | |
| Nebraska Methodist Hospital | 5% Or Greater Direct Ownership Interest | Oct 3, 2006 | 6.44% |
| Physicians Treasury LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 4.02% |
| Harrison R Bane | Other | Sep 1, 2024 | |
| Stephen E Doran | W-2 Managing Employee | Dec 24, 2023 | |
| Bcpe Seminole Holdings II Intermediate LP | 5% Or Greater Indirect Ownership Interest | Mar 31, 2023 | 11.86% |
| Surgery Center Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 51.1% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
5% Or Greater Direct Ownership Interest
-
dba Methodist Hospital
- Rehabilitation Hospital Unit
- Omaha, NE
- NPI 1659461895
5% Or Greater Direct Ownership Interest
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
5% Or Greater Direct Ownership Interest
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1417950650
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Lafayette Surgical Specialty Hospital
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Lubbock Heart Hospital
- General Acute Care Hospital
- Lubbock, TX
- NPI 1922001775
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- Special Hospital
- Franklin, WI
- NPI 1861635971
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Durham, NC
- NPI 1437221785
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otology & Neurotology Physician
- Omaha, NE
- NPI 1730160854
Affiliated clinicians 139
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Omaha, NE
- NPI 1447412655
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1629497755
Hospital
-
- Hospitalist Physician
- Omaha, NE
- NPI 1770516205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1013122571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6128 S LYNCREST AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082560",
"telephone_number": "855-327-6350",
"fax_number": "605-274-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 FARNAM DR.",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144504",
"telephone_number": "402-399-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST SURGICAL HOSPITAL, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025662300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "613763400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013122571",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NEBRASKA",
"identifier": "60236",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
- Midwest Rehabilitation, LLC
- Midwest Sleep Docs, LLC
- Midwest Spine Clinic LLC (The Rejuvenation Center)
- Midwest Surgery Center Inc
- Midwest Surgical Associates PC
- Midwest Surgical Specialists LLC
- Midwest Surgical Specialists, PC
- Midwest Urgent Care
- Midwest Urgent Care,LLC
- Midwest Urology Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.