Individual provider Active NPI

Pat L Unterseher, M.D.

  • Family Medicine Physician
  • Lexington, NE
National Provider Identifier
1699719096
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17259 Issued in NE
Practice address
1103 Buffalo BND
Lexington, NE 68850-1528
Phone
(308) 324-6386
Fax
(308) 324-6913
NPI assigned
Jun 15, 2006
Last updated
Apr 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17259 NE Primary

Addresses

Primary practice location

1103 Buffalo BND
Lexington, NE 68850-1528

Mailing address

1103 Buffalo BND
PO Box 797
Lexington, NE 68850-1528
Phone (308) 324-6386

Other identifiers 2

IdentifierTypeStateIssuer
47058329013MedicaidNE
0659310001OtherNEDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Creek Medical Group, P.C. Family Medicine Current Accepting new patients

Locations

1103 Buffalo Bnd
Lexington, NE 68850
Phone (308) 324-6386

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1699719096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "address_2": "PO BOX 797",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERSEHER",
        "first_name": "PAT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47058329013",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0659310001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.