Organization Active NPI

North Lincoln Family Medical Center PC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1629260336
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH LINCOLN FAMILY MEDICAL CENTER PC
Practice address
3100 N 14TH St
Ste 201
Lincoln, NE 68521-2134
Phone
(402) 477-6600
Fax
(402) 477-7369
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Charles L Kreshel, MD
Title
President
Phone
(402) 477-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3100 N 14TH St
Ste 201
Lincoln, NE 68521-2134

Mailing address

3100 N 14TH St
Ste 201
Lincoln, NE 68521-2134
Phone (402) 477-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1629260336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N 14TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212134",
            "telephone_number": "402-477-6600",
            "fax_number": "402-477-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 14TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212134",
            "telephone_number": "402-477-6600",
            "fax_number": "402-477-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LINCOLN FAMILY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "KRESHEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-477-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Sep 14, 2010; 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.