NPIMap

Organization Active NPI

Gynecologic Surgeons & Obstetricians, P.C.

  • Obstetrics & Gynecology Physician
  • Lincoln, NE
National Provider Identifier
1457396244
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GYNECOLOGIC SURGEONS & OBSTETRICIANS, P.C.
Practice address
6050 Village Dr
Lincoln, NE 68516-4732
Phone
(402) 421-8581
Fax
(402) 421-8594
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Dr. Jeffrey E Tomjack, M.D.NPI 1447225339
Title
President
Phone
(402) 421-8581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6050 Village Dr
Lincoln, NE 68516-4732

Mailing address

6050 Village Dr
Lincoln, NE 68516-4732
Phone (402) 421-8581

Other identifiers 1

IdentifierTypeStateIssuer
28D0455238OtherNECLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824001213 NE Part B Supplier - Clinic/Group Practice 4880668805 Receives reassigned benefits from 11 practitioners
Practice locations: Lincoln, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0455238Gynecologic Surgeons & Obstetricians PC6050 Village Drive, Lincoln, NE 68516Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

6050 Village Dr
Lincoln, NE 68516
Phone (402) 421-8581

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73670

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1457396244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164732",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164732",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC SURGEONS & OBSTETRICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "TOMJACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-421-8581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "28D0455238",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.