Midwest Endoscopy Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC062 Issued in NE

Legal business name

MIDWEST ENDOSCOPY SERVICES LLC

Practice address

8901 Indian Hills Dr
Suite 100
Omaha, NE 68114-4057

Phone

(402) 933-1500

Fax

(402) 934-1612

NPI assigned

Feb 14, 2006

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian W Ward, MDNPI 1366494643

Title

MD

Phone

(402) 397-7057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Midwest Endoscopy Services LLCCCN 28C0001016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 24

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.

• Brian W. Ward, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1366494643
  NPD (past) Authorized official
• Tyron A Alli, M.D.

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1447225784
  NPD (past)
• Alexander B. Bernal, M.D.

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1912972266
  NPD (past)
• Douglas E. Brouillette, M.D.

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1013982370
  NPD (past)
• John J Cannella III, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1619099629
  NPD (past)
• Jason J Cisler, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1720025463
  NPD (past)
• Rebecca A Ehlers, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1225233869
  NPD (past)
• Helen O Fasanya-Uptagraft, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1598920415
  NPD (past)
• Benjamin S Hall, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1851556724
  NPD (past)
• Kimberly S. Harmon, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1831226950
  NPD (past)
• Jordan D Holmes, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1518130624
  NPD (past)
• Grant Farley Hutchins, MD

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1629091988
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1053385328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-933-1500",
            "fax_number": "402-934-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-933-1500",
            "fax_number": "402-934-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ENDOSCOPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "402-397-7057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Comfortable Living LLC
• Midwest Dermatology Clinic, P.C.
• Midwest Developmental Resources
• Midwest Ear, Nose & Throat Clinic, P.C.
• Midwest Endodontics, LLC (Midwest Endodontics)
• Midwest Eye Care PC
• Midwest Eye Care PC
• Midwest Eye Care PC
• Midwest Eye Care, PC
• Midwest Eye Care, PC

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.