NPIMap

Organization Active NPI

Superior Street Family Physicians

Doing business as Fallbrook Family Health Center

  • Adult Medicine Physician
  • Lincoln, NE
National Provider Identifier
1255400206
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
19203 Issued in NE
Legal business name
SUPERIOR STREET FAMILY PHYSICIANS
Doing business as
Fallbrook Family Health Center
Practice address
755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-9056
Phone
(402) 441-3575
Fax
(402) 438-2107
NPI assigned
Nov 6, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Steven J. Saathoff, MDNPI 1801883426
Title
Member/Physician
Phone
(402) 441-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 19203 NE Primary

Addresses

Primary practice location

755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-9056

Mailing address

755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-9056
Phone (402) 441-3575

Other names 1

  • Fallbrook Family Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Radcliff St
Lincoln, NE 68512
Phone (402) 441-7090

5500 S Coddington Ave
Lincoln, NE 68523
Phone (402) 420-0328

Practitioners & affiliated clinicians

Practitioners 9

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1255400206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219056",
            "telephone_number": "402-441-3575",
            "fax_number": "402-438-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219056",
            "telephone_number": "402-441-3575",
            "fax_number": "402-438-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR STREET FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SAATHOFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "402-441-3575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NE",
            "license": "19203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2018; 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.