Active NPI
Council Bluffs Surgical Associates, P.C.
- Specialist
- Council Bluffs, IA
National Provider Identifier
1790862043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616
Interoperability endpoints
- 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.
-
- Surgery Physician
- Council Bluffs, IA
- NPI 1104268838
-
- Surgery Physician
- Fort Bragg, NC
- NPI 1689026437
-
- Trauma Surgery Physician
- Provo, UT
- NPI 1952763047
-
- Surgery Physician
- Damariscotta, ME
- NPI 1447697966
-
- Surgery Physician
- Council Bluffs, IA
- NPI 1588656003
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
- Council Bluffs Chiropractic Clinic LLC
- Council Bluffs Community Health Center
- Council Bluffs Community School District
- Council Bluffs Foot & Ankle Care PC
- Council Bluffs Senior Care, LLC
- Countryhouse Council Bluffs LLC
- Trinity Marie Cox, LMSW
- Michael Crawford, M.D.
- CRC Recovery, Inc.
- Creighton University
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.