SOUTH OMAHA SURGICAL CENTER LLC (NPI# 1942697735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942697735 |
| Entity Type | Organization |
| Organization Name | SOUTH OMAHA SURGICAL CENTER LLC |
| Practice Address |
3201 S 24th St Omaha NE 68108-1825 |
| Mailing Address |
21120 Washington Pkwy Frankfort IL 60423-3112 |
| Practice Telephone | 4025044071 |
| Practice Fax Number | 4025044124 |
| Mailing Telephone | 8154699750 |
| Mailing Fax Number | 8154699752 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | MR. DANIEL W BORVAN (VICE PRESIDENT) |
| Authorized Official Telephone | 7082537258 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC068 | NE | Ambulatory Health Care Facilities |
| Street Address |
3201 S 24TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68108-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884072 | Metro Omaha Anesthesia PC | Anesthesiology | 3201 S 24th St, Omaha, NE 68108-1825 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256837 | Veronica Wolf | Counselor | 1449 S. 12th Street, Omaha, NE 68108 | 2014-09-04 |
| 1689015737 | Beverly Ann Brown | Occupational Therapy Assistant | 2305 South 10th Street, Omaha, NE 68108 | 2013-07-17 |
| 1679761381 | Denise Nebeker Counseling, Inc | Counselor | 2205 S. 10th Street, Ste 328, Omaha, NE 68108 | 2007-10-09 |
| 1316928435 | Nelso A Testa | Dentist | 2319 Vinton Street, Omaha, NE 68108 | 2005-11-07 |
| 1992166904 | Lauren Stone | Licensed Practical Nurse | 2305 S 10th St, Omaha, NE 68108 | 2016-03-18 |
| 1881032860 | Jordan Dudzinski | Dentist | 2002 Vinton Street, Omaha, NE 68108 | 2013-06-12 |
| 1679680508 | Sarah L Ott | Dentist | 2002 Vinton St, Vinton Street Dental, Omaha, NE 68108 | 2006-08-24 |
| 1932142254 | David E Cornell | Podiatrist | 1207 S 13th St, Omaha, NE 68108-0587 | 2006-06-14 |
| 1649554858 | Natalie Marie Gill | Speech-Language Pathologist | 1206 Castelar St, Omaha, NE 68108-1036 | 2011-10-06 |
| 1417942277 | Delmar Gardens of Omaha, LLC | Skilled Nursing Facility | 2305 S 10th St, Omaha, NE 68108-1108 | 2005-09-16 |
| Find all providers in zip 68108 | ||||
| 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 |
| 1215985601 | Dermatology Surgery Center, PC | Clinic/Center | 11623 Arbor St, Suite 102, Omaha, NE 68144-2981 | 2006-05-05 |
| 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 |
| 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.