Lincoln Surgery Center LLC
Organization Active NPI Special Hospital · Lincoln, NE
NPI 1306849005 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1306849005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Special Hospital 284300000X
- License
- H000103 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory E Sutton, MD
- Title
- President
- Phone
- (402) 484-9000
Owners & managing parties with NPI records 4
-
James A Fosnaugh, M.D.
-
Gregory E Sutton, MD
-
Vincent J Sutton, M.D.
Corporate family (same tax ID) 1
Member of 2
Practitioners 6
-
Hillary Marie Bonin, CRNA
-
Catherine M Johnston, CRNA
-
Nathan R Ockenga, CRNA
-
Matthew Thomas Springer, CRNA
-
Bridget Henkel, CRNA
-
Gilbert J Watson, CRNA
Affiliated clinicians 140
-
Ellie Andreasen, PA-C
-
Brett Daniel Baird, CRNA
-
Emily K Bart, PA-C
-
Ryan J Baumert, PA-C
-
Jason Paul Beach, CRNA
-
Cason Terryl Bock, PA C
-
Michael K Bokemper, M.D.
-
Hillary Marie Bonin, CRNA
-
Tyler Brandt, CRNA
-
Matthew Byington, D.O.
-
Anne Marie Carter, CRNA
-
Brooke A. Chambers, PA-C
-
Lauren Chatwell, PA-C
-
Daniel Andrew Chruscicki, M.D.
-
Wasim W Chughtai, M.D.
-
Joey Jace Chung, CRNA
-
David John Clare, MD
-
Thomas J E Clark, MD
-
Matthew Earl Crandell, CRNA
Medicare Care Compare: Hospital
- Listed as
- Lincoln Surgical Hospital
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0976120 | Lincoln Surgery Center, LLC D/B/a | Compliance | Jan 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE
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
- LLC · Proprietary
- Enrollment address
- 1710 S 70TH St
Ste 200
Lincoln, NE 68506-1677 - Hospital subgroups
- Acute care, Other
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory E Sutton |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 8.53% |
| Corporate Director | Apr 1, 2003 | ||
| Lincoln Orthopaedic Center Holdco Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 14.55% |
| Jane K Haire |
Contracted Managing Employee |
Nov 20, 2021 | |
| Operational/Managerial Control |
Nov 20, 2021 | ||
| Noc Ancillary Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 56.94% |
| Michele L Spadt |
Contracted Managing Employee |
Nov 1, 2008 | |
| Operational/Managerial Control |
Nov 1, 2008 | ||
| Susan V Gausman |
Contracted Managing Employee |
Apr 1, 2025 | |
| Larry W Wood |
Corporate Director | Apr 1, 2003 | |
| Lori a Applegate |
Contracted Managing Employee |
Apr 1, 2003 | |
| Operational/Managerial Control |
Apr 1, 2003 | ||
| Rebecca a Childress |
Contracted Managing Employee |
Feb 4, 2024 | |
| Operational/Managerial Control |
May 13, 2026 | ||
| Physicians Surgical Services LLC |
5% Or Greater Direct Ownership Interest | Aug 1, 2017 | 100% |
| Chios Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 6.15% |
| Margaret K Sutton |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 8.53% |
| Corporate Director | Apr 1, 2003 | ||
| 70TH Street Properties Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 29.22% |
| Operational/Managerial Control | Apr 1, 2003 | ||
| Michelle a Monhollon |
Contracted Managing Employee |
May 10, 2004 | |
| Corporate Officer |
Jan 1, 2022 | ||
| Operational/Managerial Control |
May 10, 2004 | ||
| Parkston Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 6.15% |
| Robin F Linafelter |
Contracted Managing Employee |
May 22, 1997 | |
| Corporate Officer |
Jan 1, 2022 | ||
| Operational/Managerial Control |
May 22, 1997 | ||
| Vincent J Sutton |
5% Or Greater Indirect Ownership Interest | Apr 1, 2026 | 8.29% |
| Corporate Director | Apr 1, 2003 | ||
| James Austin Fosnaugh |
Contracted Managing Employee |
Oct 1, 2024 | |
| Max W Linder |
Corporate Director | Apr 1, 2003 | |
| Charon Shared Services LLC |
Operational/Managerial Control | Jan 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Lincoln Surgery Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | H000103 | NE | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60005 | Other | NE | BCBS |
| 10024946500 | Medicaid | NE | |
| 5000143 | Other | NE | UNITED HEALTHCARE |
Other providers in Lincoln, NE
- Lincoln Public Schools
- Lincoln Public Schools
- Lincoln Pulmonary & Critical Care Associates PC
- Lincoln Radiology Group PC
- Lincoln Radiology LLC
- Lincoln Surgery Center LLC
- Lincoln Surgery Endoscopy Services, LLC
- Lincoln Surgery Pain Management Services, LLC
- Lincoln Surgical Group PC
- Lincoln Tongue Tie Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.