Active NPI
Surgical Specialists, LLC
- Surgery Physician
- Lincoln, NE
National Provider Identifier
1841336179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL SPECIALISTS, LLC
- Practice address
- 1500 S 48TH St Ste 708
Lincoln, NE 68506-1281 - Phone
- (402) 483-3400
- NPI assigned
- Jan 30, 2007
- 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
- Jody L Olsen
- Title
- Practice Manager
- Phone
- (402) 483-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1500 S 48TH St Ste 708
Lincoln, NE 68506-1281
Mailing address
1500 S 48TH St Ste 708
Lincoln, NE 68506-1281
Phone (402) 483-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025332500 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
7500 S 91st St
Lincoln, NE 68526
Phone (402) 327-2700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- McKinney, TX
- NPI 1215930144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250812800000",
"number": "1841336179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S 48TH ST STE 708",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061281",
"telephone_number": "402-483-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S 48TH ST STE 708",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061281",
"telephone_number": "402-483-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2009-08-21",
"status": "A",
"authorized_official_last_name": "OLSEN",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "402-483-3400"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025332500",
"state": "NE"
}
],
"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 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.