NPIMap

Organization Active NPI

J Misko MD LLC

  • Medical Specialty Clinic/Center
  • Lincoln, NE
National Provider Identifier
1417192469
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
24755 Issued in NE
Legal business name
J MISKO MD LLC
Doing business as
JMISKO surgical design md
Practice address
5800 Hidcote Dr
Ste. 103
Lincoln, NE 68516-5536
Phone
(402) 499-5938
Fax
(402) 484-5145
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Justin D Misko, M.D.
Title
Medical Director/Managing Member
Phone
(402) 484-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 24755 NE Primary

Addresses

Primary practice location

5800 Hidcote Dr
Ste. 103
Lincoln, NE 68516-5536

Mailing address

5800 Hidcote Dr
Ste. 103
Lincoln, NE 68516-5536
Phone (402) 499-5938

Other names 1

  • JMISKO surgical design md Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1417192469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR",
            "address_2": "STE. 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-499-5938",
            "fax_number": "402-484-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR",
            "address_2": "STE. 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-499-5938",
            "fax_number": "402-484-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MISKO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "MISKO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "402-484-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "24755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMISKO surgical design md",
            "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 Aug 11, 2011; 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.