NPIMap

Organization Active NPI

Ear, Nose & Throat Specialties, P.C.

  • Otolaryngology Physician
  • Lincoln, NE
National Provider Identifier
1871673384
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE & THROAT SPECIALTIES, P.C.
Practice address
5055 A St Ste 300
Lincoln, NE 68510-4970
Phone
(402) 488-5600
Fax
(402) 488-7649
NPI assigned
Oct 17, 2006
Reactivated
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Christopher A Cederberg, M.D.NPI 1982791703
Title
Physcian/Owner
Phone
(402) 488-5600

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X NE Primary

Addresses

Primary practice location

5055 A St Ste 300
Lincoln, NE 68510-4970

Mailing address

5055 A St Ste 300
Lincoln, NE 68510-4970
Phone (402) 488-5600

Other names 1

  • ENT Specialties, P.C. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address entspecialties@allmedsccd.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000617 NE Part B Supplier - Clinic/Group Practice 6901874197 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4800 Hospital Pkwy
Ste 2200
Beatrice, NE 68310
Phone (402) 228-1316

1500 S 48th St
Ste 200
Lincoln, NE 68506
Phone (402) 488-5600

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 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1871673384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 A ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104970",
            "telephone_number": "402-488-5600",
            "fax_number": "402-488-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 A ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104970",
            "telephone_number": "402-488-5600",
            "fax_number": "402-488-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALTIES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-01",
        "certification_date": "2023-07-25",
        "deactivation_date": "2023-07-25",
        "reactivation_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "CEDERBERG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSCIAN/OWNER",
        "authorized_official_telephone_number": "402-488-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "entspecialties@allmedsccd.com",
            "affiliation": "N",
            "address_1": "5055 A St Ste 300",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685104970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ENT Specialties, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ENT Specialties, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 1, 2023; 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.