Organization Active NPI

Family Physicians Group, PC

  • Specialist
  • Lincoln, NE
National Provider Identifier
1750560439
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAMILY PHYSICIANS GROUP, PC
Practice address
770 N Cotner Blvd
Suite 205
Lincoln, NE 68505-2310
Phone
(402) 467-4661
Fax
(402) 467-5006
NPI assigned
Oct 30, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Peter M Morin, M.D.NPI 1669435343
Title
President
Phone
(402) 467-4661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

770 N Cotner Blvd
Suite 205
Lincoln, NE 68505-2310

Mailing address

770 N Cotner Blvd
Suite 205
Lincoln, NE 68505-2310
Phone (402) 467-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000497 NE Part B Supplier - Clinic/Group Practice 7810086253 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0455041Family Physicians Group770 N Cotner BL 205 Box 5559, Lincoln, NE 68505AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

770 N Cotner Blvd
Ste 205
Lincoln, NE 68505
Phone (402) 467-4661

Interoperability endpoints

  • Direct secure messaging: mainguyen@fpg.allscriptsdirect.net
  • Direct secure messaging: nancybaugous@fpg.allscriptsdirect.net
  • Direct secure messaging: petermorin@fpg.allscriptsdirect.net
  • Direct secure messaging: thomasfischer@fpg.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750560439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "SUITE 205",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-467-4661",
            "fax_number": "402-467-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "SUITE 205",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-467-4661",
            "fax_number": "402-467-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-467-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.