Prairie Surgical Associates P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

21192 Issued in NE

Legal business name

PRAIRIE SURGICAL ASSOCIATES P C

Practice address

1919 S 40TH St
Suite 107
Lincoln, NE 68506-5258

Phone

(402) 486-3400

Fax

(402) 486-3344

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin R Mota, M.D.

Title

President

Phone

(402) 486-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Reed, MD

  • Surgery Physician
  • Lincoln, NE
  • NPI 1306947981
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1962697300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-486-3400",
            "fax_number": "402-486-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065258",
            "telephone_number": "402-486-3400",
            "fax_number": "402-486-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE SURGICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MOTA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-486-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "21192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Health Ventures LLC
• Prairie Orthopaedic & Plastic Surgery, P.C.
• Prairie Orthopaedic & Plastic Surgery, P.C.
• Prairie Orthopaedic & Plastic Surgery, PC
• Prairie Psychiatric LLC
• Prairie Wellness Collective, LLC
• Rachelle Lynn Prall
• Shelbi Prange
• Evie Praska
• Jackuelyn M Prater, MSW LMHP LCSW

• Specialist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.