NPIMap

Organization Active NPI

Plastic Surgical Center

  • Specialist
  • Omaha, NE
National Provider Identifier
1871795211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12515 Issued in NE
Legal business name
PLASTIC SURGICAL CENTER
Practice address
4239 Farnam St
#219
Omaha, NE 68131-2868
Phone
(402) 552-2200
Fax
(402) 552-2207
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven B. Black, M.D.
Title
M.D.
Phone
(402) 552-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12515 NE Primary

Addresses

Primary practice location

4239 Farnam St
#219
Omaha, NE 68131-2868

Mailing address

4239 Farnam St Ste 219
Omaha, NE 68131-2803
Phone (402) 552-2200

National Provider Directory

National Provider Directory

Locations

2727 S 144th St
#285
Omaha, NE 68144
Phone (402) 778-5252

2727 S 144th St
Ste 285
Omaha, NE 68144

2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225

4239 Farnam St
Ste 219
Omaha, NE 68131
Phone (402) 552-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871795211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST STE 219",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312803",
            "telephone_number": "402-552-2200",
            "fax_number": "402-552-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST",
            "address_2": "#219",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312868",
            "telephone_number": "402-552-2200",
            "fax_number": "402-552-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "402-552-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "12515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.