Organization Active NPI

Midwest Surgical Specialists, PC

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1699730663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19980 Issued in NE
Legal business name
MIDWEST SURGICAL SPECIALISTS, PC
Practice address
10020 Nicholas St
Suite 106
Omaha, NE 68114-2189
Phone
(402) 934-9840
Fax
(402) 934-9846
NPI assigned
Apr 20, 2006
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
Julie Hartman
Title
Billing Admin
Phone
(402) 934-9840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 19739 NE
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 19980 NE Primary

Addresses

Primary practice location

10020 Nicholas St
Suite 106
Omaha, NE 68114-2189

Mailing address

10020 Nicholas St
Suite 106
Omaha, NE 68114-2189
Phone (402) 934-9840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699730663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 NICHOLAS ST",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142189",
            "telephone_number": "402-934-9840",
            "fax_number": "402-934-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NICHOLAS ST",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142189",
            "telephone_number": "402-934-9840",
            "fax_number": "402-934-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "402-934-9840"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "19739",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "19980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, 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.