Organization Active NPI

Lincoln Surgery Pain Management Services, LLC

  • Pain Clinic/Center
  • Lincoln, NE
National Provider Identifier
1689677379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
ASC036 Issued in NE
Legal business name
LINCOLN SURGERY PAIN MANAGEMENT SERVICES, LLC
Practice address
1730 S 70TH St
Lincoln, NE 68506-1613
Phone
(402) 484-9050
Fax
(408) 483-0476
NPI assigned
May 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robin F Linafelter
Title
Ceo
Phone
(402) 484-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X ASC036 NE Primary

Addresses

Primary practice location

1730 S 70TH St
Lincoln, NE 68506-1613

Mailing address

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (402) 484-9090

Other identifiers 3

IdentifierTypeStateIssuer
6800079OtherNEUNITED HEALTHCARE
01471OtherNEBC/BS
10024946600MedicaidNE

National Provider Directory

National Provider Directory

Locations

1730 S 70th St
Ste 120
Lincoln, NE 68506
Phone (402) 483-5212

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689677379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9090",
            "fax_number": "402-483-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061613",
            "telephone_number": "402-484-9050",
            "fax_number": "408-483-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN SURGERY PAIN MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINAFELTER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-484-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NE",
            "license": "ASC036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6800079",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01471",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024946600",
            "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 Aug 22, 2020; 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.