Star City Cosmetic Surgery LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

STAR CITY COSMETIC SURGERY LLC

Doing business as

Jacobson Cosmetic Surgery

Practice address

1630 S 70TH St Ste 202
Lincoln, NE 68506-1500

Phone

(531) 254-5458

Fax

(531) 254-5065

NPI assigned

Nov 10, 2021

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Paige Jacobson, DONPI 1578959847

Title

Physician/Owner

Phone

(402) 890-6249

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jacobson Cosmetic Surgery Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica P Jacobson, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Lincoln, NE
  • NPI 1578959847
  NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1669138905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S 70TH ST STE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061500",
            "telephone_number": "531-254-5458",
            "fax_number": "531-254-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S 70TH ST STE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061500",
            "telephone_number": "531-254-5458",
            "fax_number": "531-254-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY COSMETIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "402-890-6249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "2369",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "2017014908",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drjess@jacobsoncosmeticsurgery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1630 S 70th St Ste 202",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jacobson Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacobson Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Stanley, LMHP, BCBA, LBA
• Adrienne Dee Stansell
• Nicole Kay Stanton
• Rebecca J Stapler
• Star Anesthesia, PC
• Star City Medical Clinic., PC
• Star City Surgical, P.C.
• Cheryl Jeanne Stara, LMHP
• Jean Starita
• Stark and Johnson LLC (Lincoln Pediatric Dentistry)

• Facial Plastic Surgery Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Facial Plastic Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.