NPIMap

Organization Active NPI

North Platte Surgery Center Anesthesia, LLC

  • Anesthesiology Physician
  • North Platte, NE
National Provider Identifier
1780869222
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTH PLATTE SURGERY CENTER ANESTHESIA, LLC
Practice address
621 W Francis St
North Platte, NE 69101-0608
Phone
(308) 534-8800
Fax
(308) 534-2008
NPI assigned
Jan 3, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH PLATTE SURGERY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. James N. Shreck, M.D.
Title
Chairman of the Board
Phone
(308) 534-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

621 W Francis St
North Platte, NE 69101-0608

Mailing address

621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000653 NE Part B Supplier - Clinic/Group Practice 6709969751 Receives reassigned benefits from 49 practitioners
Practice locations: North Platte, NE

National Provider Directory

National Provider Directory
Part of
North Platte Surgery Center LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1780869222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W FRANCIS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010608",
            "telephone_number": "308-534-8800",
            "fax_number": "308-534-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W FRANCIS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010608",
            "telephone_number": "308-534-8800",
            "fax_number": "308-534-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLATTE SURGERY CENTER ANESTHESIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH PLATTE SURGERY CENTER, LLC",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "SHRECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "308-534-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.