Organization Active NPI

Spine &Orthopedic Surgery Associates

  • Orthopaedic Surgery Physician
  • Kearney, NE
National Provider Identifier
1497941751
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20293 Issued in NE
Legal business name
SPINE &ORTHOPEDIC SURGERY ASSOCIATES
Practice address
1215 1St Ave
Kearney, NE 68847-6825
Phone
(308) 237-0889
Fax
(308) 237-0885
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Dennis McGowan, M.D.NPI 1598855298
Title
Physician
Phone
(308) 237-0889

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 20293 NE Primary

Addresses

Primary practice location

1215 1St Ave
Kearney, NE 68847-6825

Mailing address

1215 1St Ave
Kearney, NE 68847-6825
Phone (308) 237-0889

Other identifiers 1

IdentifierTypeStateIssuer
48072502713MedicaidNE

National Provider Directory

National Provider Directory

Locations

1215 1st Ave
Kearney, NE 68847
Phone (308) 237-0889

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1497941751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688476825",
            "telephone_number": "308-237-0889",
            "fax_number": "308-237-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688476825",
            "telephone_number": "308-237-0889",
            "fax_number": "308-237-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE &ORTHOPEDIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "308-237-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "20293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48072502713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.