Organization Active NPI

Head and Neck Surgical Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Lincoln, NE
National Provider Identifier
1891875175
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASC022 Issued in NE
Legal business name
HEAD AND NECK SURGICAL PARTNERS LLC
Practice address
1500 S 48TH St
Ste 201
Lincoln, NE 68506-1277
Phone
(402) 488-5812
Fax
(402) 488-1356
NPI assigned
Oct 17, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dana P Wolfe, MDNPI 1639269467
Title
Board of Managers
Phone
(402) 484-4974

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
Ambulatory Surgical Clinic/Center 261QA1903X ASC022 NE Primary

Addresses

Primary practice location

1500 S 48TH St
Ste 201
Lincoln, NE 68506-1277

Mailing address

1500 S 48TH St
Ste 201
Lincoln, NE 68506-1277
Phone (402) 488-5812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000896 NE Part B Supplier - Ambulatory Surgical Center 0840239679 Practice locations: Lincoln, NE

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Physicians Surgical CenterCCN 28C0001012
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0974418Head & Neck Surgical Partners, LLC1500 S 48TH Street, Suite 201, Lincoln, NE 68506Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1500 S 48th St
Lincoln, NE 68506
Phone (402) 483-1276

1500 S 48th St
Ste 201
Lincoln, NE 68506
Phone (402) 484-4960

Practitioners & affiliated clinicians

Practitioners 3

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.

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": "1508803200000",
    "number": "1891875175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061277",
            "telephone_number": "402-488-5812",
            "fax_number": "402-488-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061277",
            "telephone_number": "402-488-5812",
            "fax_number": "402-488-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BOARD OF MANAGERS",
        "authorized_official_telephone_number": "402-484-4974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC022",
            "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 Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.