Active NPI
Robert Michael Plouzek, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln, NE
National Provider Identifier
1245346030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100791
- Practice address
- 625 S 70TH St
Lincoln, NE 68510-2404 - Phone
- (402) 423-7774
- Fax
- (402) 423-7774
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100791 | NE | Primary |
Addresses
Primary practice location
625 S 70TH St
Lincoln, NE 68510-2404
Mailing address
5301 Aaron Cir
Lincoln, NE 68516-9491
Phone (402) 423-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025092100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Anesthesia PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lincoln, NE
- NPI 1285237750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1245346030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 AARON CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685169491",
"telephone_number": "402-423-7774",
"fax_number": "402-423-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102404",
"telephone_number": "402-423-7774",
"fax_number": "402-423-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUZEK",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025092100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.