Active NPI
John L. Reed M.D. Surgical Practice, P.C.
- Surgery Physician
- Lincoln, NE
National Provider Identifier
1639376932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10719
- Legal business name
- JOHN L. REED M.D. SURGICAL PRACTICE, P.C.
- Practice address
- 8055 O St
Suite 300
Lincoln, NE 68510-2564 - Phone
- (402) 421-0896
- Fax
- (402) 421-0945
- NPI assigned
- Jun 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John L Reed, MD
- Title
- President & Owner
- Phone
- (402) 483-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10719 | NE | Primary |
Addresses
Primary practice location
8055 O St
Suite 300
Lincoln, NE 68510-2564
Mailing address
8055 O Street
Suite 300
Lincoln, NE 68510-2580
Phone (402) 421-0896
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700437 | Other | NE | UHC |
| 0591669 | Medicaid | IA | |
| 7719030 | Medicaid | SD | |
| 10025532000 | Medicaid | NE | |
| 1226 | Other | NE | MIDLANDS CHOICE |
| 35824 | Other | NE | BCBS |
National Provider Directory
National Provider DirectoryLocations
7441 O St
Ste 200
Lincoln, NE 68510
Phone (402) 219-8770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1639376932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O STREET",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102580",
"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": "8055 O ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-421-0896",
"fax_number": "402-421-0945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L. REED M.D. SURGICAL PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT & OWNER",
"authorized_official_telephone_number": "402-483-1991",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NE",
"license": "10719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1700437",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0591669",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7719030",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025532000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1226",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35824",
"state": "NE"
}
],
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.