Omaha Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OMAHA AMBULATORY SURGERY CENTER LLC

Practice address

825 N 90TH St
Omaha, NE 68114-2702

Phone

(402) 391-7246

Fax

(402) 408-1783

NPI assigned

Dec 6, 2006

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dionne Maria Finken

Title

Administrator

Phone

(402) 391-7246

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Omaha Ambulatory Surgery Center LLPCCN 28C0001006

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 2

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.

• Rafal Krejza, D.O.

  • Interventional Pain Medicine Physician
  • Omaha, NE
  • NPI 1619236213
  NPD
• John Edward Cook, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
  • NPI 1093736779
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1326107509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142706",
            "telephone_number": "402-391-7246",
            "fax_number": "402-408-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142702",
            "telephone_number": "402-391-7246",
            "fax_number": "402-408-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "FINKEN",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-391-7246"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA10540",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Obdulia Olvera Hernandez
• Maximiano Olvera Mays
• Andrew Michael Olvera
• Danielle Olvera
• Omaha Acupuncture Clinic
• Omaha Anesthesia & Pain Treatment, LLC
• Omaha Anesthesia Associates LLC
• Omaha Applied Behavior Analysis LLC
• Omaha Bariatric Medicine , P.C.
• Omaha Birth & Babies, LLC

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.