Lincoln Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC011 Issued in NE

Legal business name

LINCOLN ENDOSCOPY CENTER, LLC

Practice address

4545 R St
Suite 101
Lincoln, NE 68503-3799

Phone

(402) 465-4545

Fax

(402) 465-3621

NPI assigned

Jun 22, 2006

Last updated

Aug 17, 2018By 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. R James Sorrell, MD

Title

Board President

Phone

(402) 465-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Lincoln Endoscopy Center LLCCCN 28C0001013

Medicare certification status

ActiveFrom the Provider of Services file

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 9

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.

• Clark W Antonson, MD

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1831182757
  NPD
• Andrew D. Coen, MD

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1346234440
  NPD (past)
• Mark G Griffin, MD

  • Specialist
  • Lincoln, NE
  • NPI 1164416251
  NPD (past)
• Matthew J Hrnicek, MD

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1063406015
  NPD (past)
• William Jay Lawton II, M.D.

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1679776561
  NPD (past)
• Paul F Petersen, MD

  • Specialist
  • Lincoln, NE
  • NPI 1245224336
  NPD (past)
• Christopher Calvin Rife, M.D.

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1699935536
  NPD (past)
• Gary W Varilek, MD

  • Gastroenterology Physician
  • Lincoln, NE
  • NPI 1104810209
  NPD (past)
• Rodney James Sorrell, MD

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1841284049
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1992741300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 R ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545",
            "fax_number": "402-465-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 R ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545",
            "fax_number": "402-465-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "402-465-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Countryhouse LLC
• Lincoln Digestive Health Center LLC
• Lincoln Disc & Nutrition Center
• Lincoln Endocrinology, LLC
• Lincoln Endodontic Specialists, P.C. (Lincoln Endodontics)
• Lincoln Family Chiropractic LLC
• Lincoln Family Counseling, LLC
• Lincoln Family Dentistry
• Lincoln Family Medical Group PC
• Lincoln Family Wellness, PC

• Ambulatory Surgical Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.