NPIMap

Organization Active NPI

Lincoln Surgery Center LLC

  • Special Hospital
  • Lincoln, NE
National Provider Identifier
1306849005
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
H000103 Issued in NE
Legal business name
LINCOLN SURGERY CENTER LLC
Practice address
1710 S 70TH St
Lincoln, NE 68506-1676
Phone
(402) 484-9090
Fax
(402) 483-0476
NPI assigned
May 27, 2005
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Dr. Gregory E Sutton, MDNPI 1023016656
Title
President
Phone
(402) 484-9000

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
Special Hospital 284300000X H000103 NE Primary

Addresses

Primary practice location

1710 S 70TH St
Lincoln, NE 68506-1676

Mailing address

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (402) 484-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030128000007 NE Part A Provider - Hospital 9436067154 Practice locations: Lincoln, NE
O20100204000354 NE Part B Supplier - Clinic/Group Practice 9436067154 Receives reassigned benefits from 5 practitioners
Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306849005. Details of each certification follow.

Hospital certification: CCN 280127

Legal name
LINCOLN SURGERY CENTER LLC
Doing business as
LINCOLN SURGICAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 2003
Last certification
Dec 7, 2023
Beds
20
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1710 S 70TH St
Ste 200
Lincoln, NE 68506-1677
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Lincoln Surgical HospitalCCN 280127 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0976120Lincoln Surgery Center, LLC D/B/a1710 South 70TH Street, Lower Level, Lincoln, NE 68506ComplianceJan 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory E Sutton Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2026 8.53%
Corporate Director Apr 1, 2003
Lincoln Orthopaedic Center Holdco Inc Organization, Lincoln, NE Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2026 14.55%
Jane K Haire Individual Contracted Managing EmployeeChief Surgical Services Officer Nov 20, 2021
Operational/Managerial ControlChief Surgical Services Officer Nov 20, 2021
Noc Ancillary Holdings LLC Organization, Lincoln, NE LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2026 56.94%
Michele L Spadt Individual Contracted Managing EmployeeChief Human Resources Officer Nov 1, 2008
Operational/Managerial ControlChief Human Resources Officer Nov 1, 2008
Susan V Gausman Individual Contracted Managing EmployeeCeo of Noc Apr 1, 2025
Larry W Wood Individual Corporate Director Apr 1, 2003
Lori a Applegate Individual Contracted Managing EmployeeChief Accounting Officer Apr 1, 2003
Operational/Managerial ControlChief Accounting Officer Apr 1, 2003
Rebecca a Childress Individual Contracted Managing EmployeeChief Clinical Officer Feb 4, 2024
Operational/Managerial ControlChief Clinical Officer May 13, 2026
Physicians Surgical Services LLC Organization, Lincoln, NE LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 100%
Chios Trust Organization, Lincoln, NE 5% Or Greater Indirect Ownership Interest Jan 1, 2025 6.15%
Margaret K Sutton Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2026 8.53%
Corporate Director Apr 1, 2003
70TH Street Properties Inc Organization, Lincoln, NE Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2026 29.22%
Operational/Managerial Control Apr 1, 2003
Michelle a Monhollon Individual Contracted Managing EmployeeChief Financial Officer May 10, 2004
Corporate OfficerChief Financial Officer Jan 1, 2022
Operational/Managerial ControlChief Financial Officer May 10, 2004
Parkston Trust Organization, Lincoln, NE 5% Or Greater Indirect Ownership Interest Jan 1, 2025 6.15%
Robin F Linafelter Individual Contracted Managing EmployeeChief Executive Officer May 22, 1997
Corporate OfficerChief Executive Officer Jan 1, 2022
Operational/Managerial ControlChief Executive Officer May 22, 1997
Vincent J Sutton Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2026 8.29%
Corporate Director Apr 1, 2003
James Austin Fosnaugh Individual Contracted Managing EmployeeMD; Oct 1, 2024
Max W Linder Individual Corporate Director Apr 1, 2003
Charon Shared Services LLC Organization, Lincoln, NE LLC, Management services company Operational/Managerial Control Jan 1, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 140

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1306849005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9090",
            "fax_number": "402-483-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9090",
            "fax_number": "402-483-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-484-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NE",
            "license": "H000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.