Organization Active NPI

Kearney Physician Network LLC

  • Anesthesiology Physician
  • Lincoln, NE
National Provider Identifier
1366849333
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KEARNEY PHYSICIAN NETWORK LLC
Doing business as
dba Lincoln Anesthesiology Group
Practice address
575 S 70TH St
Suite 305
Lincoln, NE 68510-2471
Phone
(402) 434-5600
Fax
(402) 434-5601
NPI assigned
Nov 19, 2014
Organization subpart
Yes
Parent organization
THE PHYSICIAN NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Rex Kent Reckewey, MD
Title
President
Phone
(402) 421-0896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X NE Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X NE

Addresses

Primary practice location

575 S 70TH St
Suite 305
Lincoln, NE 68510-2471

Mailing address

575 S 70TH St
Suite 305
Lincoln, NE 68510-2471
Phone (402) 434-5600

Other names 1

  • dba Lincoln Anesthesiology Group Doing business as

National Provider Directory

National Provider Directory
Part of
Family Medical Center

Locations

575 S 70th St
Ste 305
Lincoln, NE 68510
Phone (402) 434-5600

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1366849333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST",
            "address_2": "SUITE 305",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-434-5600",
            "fax_number": "402-434-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST",
            "address_2": "SUITE 305",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-434-5600",
            "fax_number": "402-434-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY PHYSICIAN NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PHYSICIAN NETWORK",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "RECKEWEY",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-421-0896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Lincoln Anesthesiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.