Organization Active NPI

Council Bluffs Surgical Associates, P.C.

  • Specialist
  • Council Bluffs, IA
National Provider Identifier
1790862043
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C.
Practice address
201 Ridge St
Suite 214
Council Bluffs, IA 51503-4643
Phone
(712) 396-4320
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Heidi Neal
Title
Practice Administrator
Phone
(712) 396-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

201 Ridge St
Suite 214
Council Bluffs, IA 51503-4643

Mailing address

201 Ridge St
Suite 214
Council Bluffs, IA 51503-4643
Phone (712) 396-4320

National Provider Directory

National Provider Directory

Locations

201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b85a188-4e79-4276-b029-bbb0ec6e4802/

Practitioners & affiliated clinicians

Practitioners 5

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1790862043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST",
            "address_2": "SUITE 214",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-396-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST",
            "address_2": "SUITE 214",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-396-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "712-396-4395"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.