Star City Surgical, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20093 Issued in NE

Legal business name

STAR CITY SURGICAL, P.C.

Practice address

3512 S 75TH St
Lincoln, NE 68506-4607

Phone

(402) 440-8636

Fax

(402) 486-0243

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judith Kay Degraff, M.D.NPI 1467544403

Title

M.D.

Phone

(402) 440-8636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Judith Kay Degraff, M.D.

  • Surgery Physician
  • Lincoln, NE
  • NPI 1467544403
  Authorized official Same address or phone

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1285823773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6213",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060213",
            "telephone_number": "402-440-8636",
            "fax_number": "402-486-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 S 75TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064607",
            "telephone_number": "402-440-8636",
            "fax_number": "402-486-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY SURGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "DEGRAFF",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "402-440-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "20093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kay Stanton
• Rebecca J Stapler
• Star Anesthesia, PC
• Star City Cosmetic Surgery LLC (Jacobson Cosmetic Surgery)
• Star City Medical Clinic., PC
• Cheryl Jeanne Stara, LMHP
• Jean Starita
• Stark and Johnson LLC (Lincoln Pediatric Dentistry)
• Stark and Johnson LLC (Lincoln Pediatric Dentistry)
• Stark and Johnson LLC

• Medical Specialty Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Medical Specialty Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.