Active NPI
Fallbrook Family Health Center
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1831487776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FALLBROOK FAMILY HEALTH CENTER
- Practice address
- 755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-4637 - Phone
- (402) 441-3575
- Fax
- (402) 438-2107
- NPI assigned
- Jul 13, 2011
- 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
- Steven J Saathoff, MD
- Title
- Sole Member
- Phone
- (402) 441-3575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-4637
Mailing address
755 Fallbrook Blvd
Suite 100
Lincoln, NE 68521-4637
Phone (402) 441-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110823000198 | NE | Part B Supplier - Clinic/Group Practice | 2365612785 |
Receives reassigned benefits from 7 practitioners Practice locations: Lincoln, NE |
National Provider Directory
National Provider DirectoryLocations
755 Fallbrook Blvd
Ste 100
Lincoln, NE 68521
Phone (402) 441-3575
Practitioners 8
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": "1310515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313539200000",
"number": "1831487776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 FALLBROOK BLVD",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214637",
"telephone_number": "402-441-3575",
"fax_number": "402-438-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 FALLBROOK BLVD",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214637",
"telephone_number": "402-441-3575",
"fax_number": "402-438-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALLBROOK FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-13",
"last_updated": "2011-08-17",
"status": "A",
"authorized_official_last_name": "SAATHOFF",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "402-441-3575",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"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 Aug 17, 2011; 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.