NPIMap

Organization Active NPI

New West Sports Medicine & Orthopaedic Surgery, P.C.

  • Orthopaedic Surgery Physician
  • Kearney, NE
National Provider Identifier
1922055953
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEW WEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY, P.C.
Practice address
2810 W. 35TH St
Kearney, NE 68845-2886
Phone
(308) 865-2570
Fax
(308) 865-2508
NPI assigned
May 27, 2006
Last updated
Jul 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Carol Swanson
Title
Practice Administrator
Phone
(308) 865-2570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2810 W. 35TH St
Kearney, NE 68845-2886

Mailing address

2810 W 35TH St
Kearney, NE 68845-2909
Phone (308) 865-2570

Other identifiers 1

IdentifierTypeStateIssuer
10026637500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040831001306 NE Part B Supplier - Clinic/Group Practice 6800861014 Receives reassigned benefits from 12 practitioners
Practice locations: Kearney, NE
O20100930095374 NE DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician - General Practice 6800861014 Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

2810 W 35th St
Kearney, NE 68845
Phone (308) 865-2570

2810 W 35th St
Ste 1
Kearney, NE 68845
Phone (308) 865-2570

3219 Central Ave
#102
Kearney, NE 68847
Phone (308) 865-2570

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1922055953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W. 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452886",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "308-865-2570"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026637500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.