NPIMap

Organization Active NPI

The Physician Network

Doing business as Stevens Creek Family Medicine

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
National Provider Identifier
1639365299
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE PHYSICIAN NETWORK
Doing business as
Stevens Creek Family Medicine
Practice address
1601 North 86TH Street
Suite 100
Lincoln, NE 68505-3713
Phone
(402) 327-7500
Fax
(402) 327-7501
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Rex Kent Reckewey, MD
Title
Ceo
Phone
(402) 421-0896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1601 North 86TH Street
Suite 100
Lincoln, NE 68505-3713

Mailing address

2000 Q St
Suite 500
Lincoln, NE 68503-3609
Phone (402) 421-0896

Other names 1

  • Stevens Creek Family Medicine Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1639365299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 Q ST",
            "address_2": "SUITE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033609",
            "telephone_number": "402-421-0896",
            "fax_number": "402-421-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NORTH 86TH STREET",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053713",
            "telephone_number": "402-327-7500",
            "fax_number": "402-327-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "RECKEWEY",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-421-0896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2012; 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.