J MISKO MD LLC (NPI# 1417192469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417192469 |
| Entity Type | Organization |
| Organization Name | J MISKO MD LLC |
| Other Organization Name | JMISKO SURGICAL DESIGN MD |
| Practice Address |
5800 Hidcote Dr Ste. 103 Lincoln NE 68516-5536 |
| Practice Telephone | 4024995938 |
| Practice Fax Number | 4024845145 |
| Mailing Telephone | 4024995938 |
| Mailing Fax Number | 4024845145 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. JUSTIN D MISKO (MEDICAL DIRECTOR/MANAGING MEMBER) |
| Authorized Official Telephone | 4024845144 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
24755 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| JMISKO surgical design md | Doing Business As Name - Organization |
| Street Address |
5800 HIDCOTE DR STE. 103 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.