Active NPI
Steven Scot Mahnke, M.D.
- Family Medicine Physician
- Central City, NE
National Provider Identifier
1699880385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16164
- Practice address
- 2510 18TH Ave
Central City, NE 68826-2123 - Phone
- (308) 946-3845
- Fax
- (308) 946-2357
- NPI assigned
- Aug 20, 2006
- Last updated
- Nov 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16164 | NE | Primary |
Addresses
Primary practice location
2510 18TH Ave
Central City, NE 68826-2123
Mailing address
2510 18TH Ave
Central City, NE 68826-2123
Phone (308) 946-3845
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080109830 | Other | NE | RAILROAD MEDICARE |
| 30561 | Other | NE | BLUECROSS BLUESHIELD |
| 5072 | Other | NE | MIDLANDS CHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16164 | NE | MD | Family Medicine Physician |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fullerton, NE
- NPI 1427158690
-
- Family Medicine Physician
- Central City, NE
- NPI 1700991510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1699880385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 18TH AVE",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688262123",
"telephone_number": "308-946-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 18TH AVE",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688262123",
"telephone_number": "308-946-3845",
"fax_number": "308-946-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHNKE",
"first_name": "STEVEN",
"middle_name": "SCOT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "16164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080109830",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "30561",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "5072",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Central City, NE
- Litzenberg Memorial Merrick County (Lone Tree Medical Clinic)
- Litzenberg Memorial Merrick County (Litzenberg Memorial County Hospital)
- Litzenberg Memorial Merrick County (Litzenberg Memorial County Hospital)
- Lone Tree Medical Associates, P.C.
- Connie Loseke, LPN-C
- Shirley Jean McKinney, OTD, OTR
- Brandon Lee McLaughlin, P.A.
- Merrick County (Palmer Clinic)
- Merrick Medical Center
- Merrick Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.