NPIMap

Organization Active NPI

Auburn Family Health Center PC

  • Family Medicine Physician
  • Auburn, NE
National Provider Identifier
1821169459
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AUBURN FAMILY HEALTH CENTER PC
Practice address
2115 14TH Street
Suite 100
Auburn, NE 68305-1797
Phone
(402) 274-4993
Fax
(402) 274-4905
NPI assigned
Nov 13, 2006
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Gary R Ensz, MDNPI 1447355623
Title
President
Phone
(402) 274-4993

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

2115 14TH Street
Suite 100
Auburn, NE 68305-1797

Mailing address

2115 14TH Street
Suite 100
Auburn, NE 68305-1797
Phone (402) 274-4993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070423000350 NE Part B Supplier - Clinic/Group Practice 4385749191 Receives reassigned benefits from 14 practitioners
Practice locations: Auburn, NE

National Provider Directory

National Provider Directory

Locations

2115 14th St
Ste 100
Auburn, NE 68305
Phone (402) 274-4993

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1821169459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 14TH STREET",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051797",
            "telephone_number": "402-274-4993",
            "fax_number": "402-274-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 14TH STREET",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051797",
            "telephone_number": "402-274-4993",
            "fax_number": "402-274-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN FAMILY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "ENSZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-274-4993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.