NPIMap

Organization Active NPI

Ear, Nose & Throat Specialties, P.C.

  • Otolaryngology Physician
  • Beatrice, NE
National Provider Identifier
1154406791
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE & THROAT SPECIALTIES, P.C.
Practice address
4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone
(402) 228-1316
Fax
(402) 228-1741
NPI assigned
Oct 25, 2006
Reactivated
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EAR, NOSE & THROAT SPECIALTIES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Christopher A Cederberg, M.D.NPI 1982791703
Title
Physician/Owner
Phone
(402) 488-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NE Primary

Addresses

Primary practice location

4800 Hospital Pkwy
Beatrice, NE 68310-6906

Mailing address

4800 Hospital Pkwy Ste 201
Beatrice, NE 68310-6906
Phone (402) 228-1316

Other identifiers 1

IdentifierTypeStateIssuer
10025360600MedicaidNE

Other names 1

  • ENT Specialties, P.C. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address entspecialties@allmedsccd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000617 NE Part B Supplier - Clinic/Group Practice 6901874197 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Ear Nose and Throat Spec PC

Locations

4800 Hospital Pkwy
Ste 201
Beatrice, NE 68310
Phone (402) 228-1316

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1154406791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY STE 201",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-228-1316",
            "fax_number": "402-228-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-228-1316",
            "fax_number": "402-228-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALTIES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR, NOSE & THROAT SPECIALTIES, P.C.",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-07-25",
        "deactivation_date": "2023-07-25",
        "reactivation_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "CEDERBERG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "402-488-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025360600",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "entspecialties@allmedsccd.com",
            "affiliation": "N",
            "address_1": "4800 Hospital Pkwy",
            "city": "Beatrice",
            "state": "NE",
            "country_code": "US",
            "postal_code": "683106906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ENT Specialties, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ENT Specialties, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.