UROLOGY SURGICAL CENTER LLC (NPI# 1467490433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467490433 |
| Entity Type | Organization |
| Organization Name | UROLOGY SURGICAL CENTER LLC |
| Practice Address |
5500 Pine Lake Rd Lincoln NE 68516-3389 |
| Practice Telephone | 4024218899 |
| Practice Fax Number | 4024218950 |
| Mailing Telephone | 4024218899 |
| Mailing Fax Number | 4024218950 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | MS. SHERI L SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 4024898888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC028 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUECROSS BLUE SHIELD PPO | 01082 | 01 |
| NE | UNITED HEALTHCARE | 6800029 | 01 |
| NE | MIDLANDS CHOICE | F1023 | 01 |
| Street Address |
5500 PINE LAKE RD |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104345495 | Ashley D Sealy | Dietitian, Registered | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2017-09-18 |
| 1669889200 | Thomas P Brush | Surgery | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2014-07-15 |
| 1558709832 | Simone Christine Vampola | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2013-06-10 |
| 1518227958 | Tara Michele Kirkpatrick | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2012-05-19 |
| 1770886491 | Tiffany Ann Wood | Physician Assistant | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2010-12-20 |
| 1518120823 | Jonathan R Henning | Urology | 5500 Pine Lake Rd, Urology PC, Lincoln, NE 68516-3389 | 2008-07-07 |
| 1154442507 | Lance Wiebusch | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2007-04-03 |
| 1346312105 | Donna Colleen Johnson | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2006-11-15 |
| 1558384826 | Kimberley Anna Brown | Physician Assistant | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| 1467475731 | David Brian Wiltfong | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
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|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| 1699718437 | Nebraska Heart Hospital | Clinic/Center | 7500 So. 91st St., Lincoln, NE 68526-9772 | 2006-06-13 |
| 1215904131 | Nebraska Surgery Center LLC | Clinic/Center | 625 S 70th St, Lincoln, NE 68510-2404 | 2006-03-01 |
| 1184699878 | Loc Surgery Center Inc | Clinic/Center | 6900 A St Ste 200, Lincoln, NE 68510-4120 | 2006-02-17 |
| 1255809620 | Prairie Orthopaedic & Plastic Surgery, P.C. | Clinic/Center | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2018-11-05 |
| 1548710775 | Lincoln Digestive Health Center LLC | Clinic/Center | 2300 S 16th St, Suite 512, Lincoln, NE 68502-3704 | 2016-10-12 |
| 1053565259 | Southwest Lincoln Surgery Center, LLC | Clinic/Center | 2222 S 16th St, Suite 315, Lincoln, NE 68502-3796 | 2008-11-14 |
| 1235202201 | Rhode Island Dermatology Obs | Clinic/Center | 3 Wake Robin Rd, Unit 5, Lincoln, RI 02865-4208 | 2006-11-16 |
| 1891875175 | Head and Neck Surgical Partners LLC | Clinic/Center | 1500 S 48th St, Ste 201, Lincoln, NE 68506-1277 | 2006-10-17 |
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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.