ADVANCED SURGERY CENTER, LLC (NPI# 1053366930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053366930 |
| Entity Type | Organization |
| Organization Name | ADVANCED SURGERY CENTER, LLC |
| Practice Address |
111 S 10th St Omaha NE 68102-1104 |
| Practice Telephone | 4023451712 |
| Practice Fax Number | 4023451864 |
| Mailing Telephone | 4023451712 |
| Mailing Fax Number | 4023451864 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152345900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC042 | NE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1396074522 | Advanced Surgery Center, LLC | Clinic/Center | 150 S Pearl St, Pearl River, NY 10965-2253 | 2009-12-17 |
| 1194960369 | Advanced Surgery Center, LLC | Clinic/Center | 1608 Lemoine Ave, Suite 101, Fort Lee, NJ 07024-5622 | 2008-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED SURGERY CENTER, LLC | 150 South Pearl Street, Pearl River, New York 10965 |
| Indiana Business Entities | ADVANCED SURGERY CENTER, LLC | 1400 Teal Rd., Ste 7, Lafayette, IN 47905 |
| Street Address |
111 S 10TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| 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 |
| 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 |
| 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.