Organization Active NPI

Neurosurgical Associates of Nebraska PC

  • Neurological Surgery Physician
  • Omaha, NE
National Provider Identifier
1437115490
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL ASSOCIATES OF NEBRASKA PC
Practice address
4242 Farnam St
Suite 363
Omaha, NE 68131-2806
Phone
(402) 552-2929
Fax
(402) 552-2986
NPI assigned
Apr 26, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
George M Greene, M.D.
Title
President
Phone
(402) 552-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

4242 Farnam St
Suite 363
Omaha, NE 68131-2806

Mailing address

4242 Farnam St
Suite 363
Omaha, NE 68131-2806
Phone (402) 552-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041026000244 IA Part B Supplier - Clinic/Group Practice 2769443449 Receives reassigned benefits from 1 practitioner
Practice locations: Atlantic, IA; Council Bluffs, IA; Denison, IA; Harlan, IA
O20070625000589 NE Part B Supplier - Clinic/Group Practice 2769443449 Receives reassigned benefits from 2 practitioners
Practice locations: Norfolk, NE; Omaha, NE

National Provider Directory

National Provider Directory

Locations

1 Edmundson Pl
Fl 4
Council Bluffs, IA 51503
Phone (402) 552-2929

109 N 15th St
Ste 23
Norfolk, NE 68701
Phone (402) 371-7144

2725 S 144th St
#112
Omaha, NE 68144
Phone (402) 637-0424

4242 Farnam St
Ste 3
Omaha, NE 68131

4242 Farnam St
Ste 363
Omaha, NE 68131
Phone (402) 552-2929

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1437115490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "SUITE 363",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2929",
            "fax_number": "402-552-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "SUITE 363",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2929",
            "fax_number": "402-552-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF NEBRASKA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-552-2929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.