Organization Active NPI

Omaha Surgical Consultants PC

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1609886704
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OMAHA SURGICAL CONSULTANTS PC
Practice address
17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396
Phone
(402) 758-5250
Fax
(402) 758-5255
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Roalene J Redland, MD
Title
President
Phone
(402) 758-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396

Mailing address

17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396
Phone (402) 758-5250

National Provider Directory

National Provider Directory

Locations

427 E Kanesville Blvd
Ste 127
Council Bluffs, IA 51503

427 E Kanesville Blvd
Ste 202
Council Bluffs, IA 51503
Phone (402) 758-5250

2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070

17030 Lakeside Hills Plz
Ste 127
Omaha, NE 68130
Phone (402) 758-5250

Practitioners & affiliated clinicians

Practitioners 3

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1609886704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ STE 127",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5250",
            "fax_number": "402-758-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ STE 127",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5250",
            "fax_number": "402-758-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA SURGICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "REDLAND",
        "authorized_official_first_name": "ROALENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-758-5250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "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 28, 2019; 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.