Organization Active NPI

York Surgical Associates , PC

  • Specialist
  • York, NE
National Provider Identifier
1336334309
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19007 Issued in NE
Legal business name
YORK SURGICAL ASSOCIATES , PC
Practice address
2114 N Lincoln Ave
Suite B
York, NE 68467-1072
Phone
(402) 362-4339
Fax
(402) 362-7743
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Daniel J Growney, MD
Title
Doctor/Owner
Phone
(402) 362-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19007 NE Primary

Addresses

Primary practice location

2114 N Lincoln Ave
Suite B
York, NE 68467-1072

Mailing address

2114 N Lincoln Ave
Suite B
York, NE 68467-1072
Phone (402) 362-4339

Other identifiers 1

IdentifierTypeStateIssuer
10025014300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001528 NE Part B Supplier - Clinic/Group Practice 7113818923 Receives reassigned benefits from 2 practitioners
Practice locations: David City, NE; York, NE; Seward, NE; Henderson, NE; Genoa, NE; Geneva, NE; Friend, NE; Aurora, NE

National Provider Directory

National Provider Directory

Locations

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

2114 N Lincoln Ave
Ste B
York, NE 68467
Phone (402) 362-4339

2222 N Lincoln Ave
#A
York, NE 68467
Phone (402) 362-4339

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1336334309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE B",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671072",
            "telephone_number": "402-362-4339",
            "fax_number": "402-362-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE B",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671072",
            "telephone_number": "402-362-4339",
            "fax_number": "402-362-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK SURGICAL ASSOCIATES , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "GROWNEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "402-362-4339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "19007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025014300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.