Organization Active NPI

Central Plains Plastic & Reconstructive Surgery, PC

Doing business as Central Plains Surgery Center

  • Plastic Surgery Physician
  • Kearney, NE
National Provider Identifier
1013187624
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
20766 Issued in NE
Legal business name
CENTRAL PLAINS PLASTIC & RECONSTRUCTIVE SURGERY, PC
Doing business as
Central Plains Surgery Center
Practice address
3712 28TH Avenue
Kearney, NE 68845
Phone
(308) 865-2737
NPI assigned
Mar 11, 2008
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joel Robert Atchsion, MD
Title
President
Phone
(308) 865-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 20766 NE Primary

Addresses

Primary practice location

3712 28TH Avenue
Kearney, NE 68845

Mailing address

3712 28TH Avenue
Kearney, NE 68845
Phone (308) 865-2737

Other identifiers 1

IdentifierTypeStateIssuer
00333OtherNEBCBS

Other names 1

  • Central Plains Surgery Center Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1013187624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 28TH AVENUE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 28TH AVENUE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PLAINS PLASTIC & RECONSTRUCTIVE SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "ATCHSION",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-865-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NE",
            "license": "20766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00333",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Plains Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.