Organization Active NPI

Innovative Surgical Solutions LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, NE
National Provider Identifier
1285214049
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INNOVATIVE SURGICAL SOLUTIONS LLC
Practice address
3772 43Rd Ave Ste B
Columbus, NE 68601-1681
Phone
(402) 562-8795
Fax
(402) 563-2765
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Michael T Hansen
Title
President
Phone
(402) 564-7118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3772 43Rd Ave Ste B
Columbus, NE 68601-1681

Mailing address

3772 43Rd Ave Ste B
Columbus, NE 68601-1681
Phone (402) 562-8795

Other names 1

  • Columbus Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1285214049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 43RD AVE STE B",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011681",
            "telephone_number": "402-562-8795",
            "fax_number": "402-563-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 43RD AVE STE B",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011681",
            "telephone_number": "402-562-8795",
            "fax_number": "402-563-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SURGICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-564-7118"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.