NPIMap

Organization Active NPI

Panhandle Health Services

Doing business as Western Plains Neurosurgery

  • Clinic/Center
  • Scottsbluff, NE
National Provider Identifier
1952414526
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PANHANDLE HEALTH SERVICES
Doing business as
Western Plains Neurosurgery
Practice address
2 W 42ND St
Suite 2550
Scottsbluff, NE 69361-4669
Phone
(308) 630-1947
Fax
(308) 630-1439
NPI assigned
Aug 16, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL WEST HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Sara J Kishiyama
Title
Office Manager
Phone
(308) 630-1947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NE Primary

Addresses

Primary practice location

2 W 42ND St
Suite 2550
Scottsbluff, NE 69361-4669

Mailing address

2 W 42ND St
Suite 2550
Scottsbluff, NE 69361-4669
Phone (308) 630-1947

Other names 1

  • Western Plains Neurosurgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001274 NE Part B Supplier - Clinic/Group Practice 2062301609 Receives reassigned benefits from 223 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsbluff, NE; Oshkosh, NE; Omaha, NE; Ogallala, NE; Lincoln, NE; Sidney, NE; Bridgeport, NE; Bayard, NE…

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

2 W 42nd St
Ste 2550
Scottsbluff, NE 69361
Phone (308) 630-1947

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952414526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 2550",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-630-1947",
            "fax_number": "308-630-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 2550",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-630-1947",
            "fax_number": "308-630-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL WEST HEALTH SERVICES",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KISHIYAMA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-630-1947"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Plains Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.