Associated Anesthesiologists PC
Organization Active NPI Anesthesiology Physician · Lincoln, NE
NPI 1972674604 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1972674604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ASSOCIATED ANESTHESIOLOGISTS PC
- Practice address
- 2900 S 70TH St Ste 250
Lincoln, NE 68506-3693 - Phone
- (402) 489-4186
- Fax
- (402) 489-5279
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Melissa Astin
- Title
- Coo
- Phone
- (402) 489-4186
Practitioners 177
-
Lexi Askey, CRNA
-
Brett Daniel Baird, CRNA
-
Matthew Behrens, M.D.
-
Tyler Brandt, CRNA
-
Robert Joseph Bush, CRNA
-
Abby Cabrera, CRNA
-
Anne Marie Carter, CRNA
-
Sarah Elizabeth Christ, CRNA
-
Joey Jace Chung, CRNA
-
Christopher S Cuciti, M.D.
-
Michael Dancer, MD
-
Kjersti K Deckert, M.D.
-
Mandi A Dierberger, CRNA
-
Abbie Lynn Eggleston, BSN, RN, SRNA CRNA
-
Christopher Lee Falter, CRNA
-
Stephanie Ann Ferguson, CRNA
-
Bradly Lloyd Foote, CRNA
-
Christan Ford, CRNA
-
Brandon Patrick Garvin, CRNA
-
Amy C. Golding Mach, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423001226 | NE | Part B Supplier - Clinic/Group Practice | 4385630391 |
Receives reassigned benefits from 123 practitioners Practice locations: Grand Island, NE; Lincoln, NE |
National Provider Directory
Locations
6900 A St
Lincoln, NE 68510
Phone (402) 436-2000
2900 S 70th St
Ste 450
Lincoln, NE 68506
Phone (402) 489-4186
6911 Van Dorn St
Ste 2
Lincoln, NE 68506
Phone (402) 403-9430
2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
2900 S 70TH St Ste 250
Lincoln, NE 68506-3693
Mailing address
2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone (402) 489-4186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE8949 | Other | NE | RAILROAD MEDICARE |
NPI Registry JSON
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1972674604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S 70TH STREET",
"address_2": "SUITE # 450",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063796",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S 70TH ST STE 250",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063693",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED ANESTHESIOLOGISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "ASTIN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "402-489-4186"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE8949",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
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- Associated Pathologists of Nebraska, P.C.
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All providers in Lincoln, NE · Anesthesiology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.