NPIMap

Organization Active NPI

Jmisko Medical Group LLC

  • Dermatology Physician
  • Lincoln, NE
National Provider Identifier
1568948735
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JMISKO MEDICAL GROUP LLC
Practice address
5800 Hidcote Dr Ste 103
Lincoln, NE 68516-5536
Phone
(402) 484-5144
Fax
(402) 484-5145
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Chele Smith
Title
Administrator
Phone
(402) 484-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 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) 484-5144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1568948735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-484-5144",
            "fax_number": "402-484-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-484-5144",
            "fax_number": "402-484-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMISKO MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-484-5144"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2018; 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.