DERMATOLOGY SURGERY CENTER, PC (NPI# 1215985601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215985601 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY SURGERY CENTER, PC |
| Practice Address |
11623 Arbor St Suite 102 Omaha NE 68144-2981 |
| Practice Telephone | 4023304555 |
| Practice Fax Number | 4023304626 |
| Mailing Telephone | 4023304555 |
| Mailing Fax Number | 4023304626 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-07-11 |
| Authorized Official Name | TERESA KAY DILTS (ADMINISTRATOR) |
| Authorized Official Telephone | 4023304555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC005 | NE | Ambulatory Health Care Facilities |
| Street Address |
11623 ARBOR ST SUITE 102 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873684 | Fanny Jacinda Damus | Occupational Therapy Assistant | 11623 Arbor St, Omaha, NE 68144-2981 | 2020-02-14 |
| 1730650052 | Christine Celis | Specialist/Technologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2018-12-14 |
| 1417491465 | Michelle M Lawson | Speech-Language Pathologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2016-12-09 |
| 1417400169 | Tara Mayer | Occupational Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2016-07-29 |
| 1770952079 | Laura Megan Syme | Speech-Language Pathologist | 11623 Arbor St, Cariant Health Partners, Omaha, NE 68144 | 2015-09-17 |
| 1427441237 | Kelsey Anne Paul | Speech-Language Pathologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2015-03-18 |
| 1457752099 | Robin Whalen | Occupational Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-09-15 |
| 1912306549 | Kayla Kimpson | Skilled Nursing Facility | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-08-20 |
| 1104231539 | Kathryn Dimmitt | Physical Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-06-24 |
| 1366856593 | Brianne Nicholson | Speech-Language Pathologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720334097 | Pacific Surgery Center, LLC | Clinic/Center | 10707 Pacific St Ste 100, Omaha, NE 68114-4762 | 2012-07-24 |
| 1083946149 | Methodist Endoscopy Center LLC | Clinic/Center | 515 North 162 Avenue, Suite 201, Omaha, NE 68118-2540 | 2010-02-01 |
| 1881858918 | Bergan Mercy Surgery Center, LLC | Clinic/Center | 7500 Mercy Road, Suite 4300, Omaha, NE 68124-2319 | 2008-07-17 |
| 1316063332 | Surgi-suite, Inc. | Clinic/Center | 8900 1/2 W Dodge Rd, Omaha, NE 68114-3302 | 2007-03-21 |
| 1902840770 | Midwest Surgery Center, Inc | Clinic/Center | 10784 V St, Omaha, NE 68127-2952 | 2006-06-15 |
| 1053366930 | Advanced Surgery Center, LLC | Clinic/Center | 111 S 10th St, Omaha, NE 68102-1104 | 2006-05-22 |
| 1336118140 | Tobin Eye Clinic, Inc | Clinic/Center | 4151 E St, Omaha, NE 68107-1129 | 2006-03-15 |
| 1053385328 | Midwest Endoscopy Services LLC | Clinic/Center | 8901 Indian Hills Dr, Suite 100, Omaha, NE 68114-4057 | 2006-02-14 |
| 1306843081 | Skin Specialists PC | Clinic/Center | 2802 Oak View Dr, Omaha, NE 68144-5604 | 2005-07-07 |
| 1427056100 | Colonoscopy Center Inc | Clinic/Center | 9850 Nicholas Street, Suite 100, Omaha, NE 68114 | 2005-07-07 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.