Panhandle Surgical, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19787 Issued in NE

Legal business name

PANHANDLE SURGICAL, P.C.

Practice address

709 W 4TH St Ste 2
Chadron, NE 69337-2270

Phone

(308) 747-2135

Fax

(308) 747-2034

NPI assigned

Mar 13, 2007

Last updated

Jan 18, 2019By 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

Jeffrey D. Lias, M.D.NPI 1699775155

Title

President

Phone

(308) 747-2135

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jeffrey Dean Lias, M.D.

  • Surgery Physician
  • Chadron, NE
  • NPI 1699775155
  Authorized official Same address or phone
• John Todd Freeseman, D.C.

  • Chiropractor
  • Gordon, NE
  • NPI 1710978887
  NPD (past)
• Ashley Skinner, LIMHP, LCSW

  • Clinical Social Worker
  • Merriman, NE
  • NPI 1508376609
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1952434417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W 4TH ST STE 2",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372270",
            "telephone_number": "308-747-2135",
            "fax_number": "308-747-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W 4TH ST STE 2",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372270",
            "telephone_number": "308-747-2135",
            "fax_number": "308-747-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE SURGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "LIAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-747-2135",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "19787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "00859",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allie Ostrander
• Brittney Rae Ovando
• Owen Dental Care
• Jonathan Trey Owen, DDS
• Lori Palomares
• Emily Nicole Parker
• Sarah Julia Parker, LIMHP
• Edward A Pelton, MD
• Charles Perkins Jr., RN
• Kimberly Ann Perkins

• Surgery Physician in Chadron, NE
• Providers in Chadron, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.