Southeast Nebraska Surgery P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHEAST NEBRASKA SURGERY P.C.

Practice address

1110 Jackson St
Beatrice, NE 68310-2117

Phone

(402) 228-4236

Fax

(402) 228-4668

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Blake Alan Butler, M.D.

Title

Surgeon

Phone

(402) 228-4236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407946650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "1110 JACKSON ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683100128",
            "telephone_number": "402-228-4236",
            "fax_number": "402-228-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 JACKSON ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102117",
            "telephone_number": "402-228-4236",
            "fax_number": "402-228-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST NEBRASKA SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "402-228-4236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Snyder
• Kailen A Soncksen
• Stephanie Mae Sorensen, P.T.
• Southeast Nebraska Radiology Inc
• Southeast Nebraska Senior Care LLC
• Southwick Chiropractic, PC
• Michael Dee Southwick, DC
• Shirrese Specht
• Cheyenne Rene Spunaugle
• Haylee Stackpole

• Surgery Physician in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.