Bellevue Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BELLEVUE FAMILY PRACTICE PC

Practice address

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977

Phone

(402) 292-9170

Fax

(402) 292-0119

NPI assigned

May 20, 2006

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Sanuik

Title

President

Phone

(402) 292-9170

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 7

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.

• James T Biskup, M.D.

  • Family Medicine Physician
  • Bellevue, NE
  • NPI 1811955685
  Medicare reassignment Care Compare group NPD
• Emily Rae Davie

  • Physician Assistant
  • Bellevue, NE
  • NPI 1053161323
  Medicare reassignment Care Compare group
• Keri Lazure, PA-C

  • Medical Physician Assistant
  • Bellevue, NE
  • NPI 1902864622
  Medicare reassignment Care Compare group
• Carmen Magistro, PA-C

  • Medical Physician Assistant
  • Bellevue, NE
  • NPI 1841258563
  Medicare reassignment Care Compare group
• Kimberly McColley, P.A.-C.

  • Physician Assistant
  • Omaha, NE
  • NPI 1013067016
  Medicare reassignment Care Compare group
• Emma Sameera Edwards, P.A.

  • Medical Physician Assistant
  • Lincoln, NE
  • NPI 1023356425
  Medicare reassignment
• Christine M Svoboda, PA-C

  • Physician Assistant
  • Papillion, NE
  • NPI 1942439641
  Medicare reassignment

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1932153400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "SANUIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-292-9170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakiesha Bell
• Bellacare Home Services LLC (Aurora)
• Renee Belland
• Bellevue Chiropractic (Bellevue Chiropractic, LLC)
• Bellevue Family Eyecare Center PC
• Bellevue Health and Emergency Clinic, Inc. (Bellevue Health Center)
• Bellevue Medical Center LLC (Bellevue Medical Center - Nebraska Medicine)
• Bellevue Obstetrics and Gynecology Associates PC
• Bellevue Operating Company LLC
• Bellevue Optical Inc.

• Family Medicine Physician in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.