Organization Active NPI

Stuart P. Westburg, MD

Doing business as Lincoln Dermatology Clinic

  • Dermatology Physician
  • Lincoln, NE
National Provider Identifier
1275723322
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12613 Issued in NE
Legal business name
STUART P. WESTBURG, MD
Doing business as
Lincoln Dermatology Clinic
Practice address
2756 O St
Lincoln, NE 68510-1341
Phone
(402) 474-4497
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Stuart P Westburg, M.D.NPI 1003815101
Title
President
Phone
(402) 474-4497

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 12613 NE Primary

Addresses

Primary practice location

2756 O St
Lincoln, NE 68510-1341

Mailing address

PO Box 2140
Lock Box 408
Omaha, NE 68103-2140
Phone (402) 474-4497

Other names 1

  • Lincoln Dermatology Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2756 O St
Lincoln, NE 68510
Phone (402) 474-4497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1275723322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2140",
            "address_2": "LOCK BOX 408",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032140",
            "telephone_number": "402-474-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101341",
            "telephone_number": "402-474-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART P. WESTBURG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "WESTBURG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-474-4497",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NE",
            "license": "12613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Dermatology Clinic",
            "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 Jul 25, 2007; 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.