Outpatient Surgical Specialties Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OUTPATIENT SURGICAL SPECIALTIES CENTER, LLC

Practice address

11704 W Center Rd
Suite 110
Omaha, NE 68144-4375

Phone

(402) 691-1575

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter M Cimino, MDNPI 1932173770

Title

President

Phone

(402) 691-1575

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Outpatient Surgical Specialties CenterCCN 28C0001044

Medicare certification status

Terminated Voluntary: merger or closure, Feb 28, 2026From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Peter Monaco Cimino, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1932173770
  NPD (past) Authorized official
• Ian D Crabb, MD

  • Orthopaedic Surgery Physician
  • Columbus, NE
  • NPI 1972517944
  NPD (past)
• Kent R Dinucci, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
  • NPI 1952363533
  NPD (past)
• Thomas James Dobleman, M.D.

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1447343405
  NPD (past)
• Jason John Mickels, M.D.

  • Orthopaedic Hand Surgery Physician
  • Omaha, NE
  • NPI 1164497806
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1710038534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 W. CENTER RD",
            "address_2": "SUITE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444324",
            "telephone_number": "402-691-1575",
            "fax_number": "402-691-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "address_2": "SUITE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-691-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGICAL SPECIALTIES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-691-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "=========",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ourada
• Christina Ousley, PTA
• Ciara Lyn Ousley
• Cinnamon Ariella Ousley
• Wanignon Oussou
• Esly Graciela Ovando
• Ovc Physician Partners, LLC
• Sheryl Lynn Overby, MS, LIMHP, NCC
• Miranda Lynn Overgaard
• Carissa Lynn Overton

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.