PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C. (NPI# 1255809620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255809620 |
| Entity Type | Organization |
| Organization Name | PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C. |
| Practice Address |
4130 Pioneer Woods Dr Ste 1 Lincoln NE 68506-7552 |
| Practice Telephone | 4024894700 |
| Practice Fax Number | 4024895220 |
| Mailing Telephone | 4024894700 |
| Mailing Fax Number | 4024895220 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | PATRICK T HURLBUT (VICE PRESIDENT) |
| Authorized Official Telephone | 4024894700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prairie ASC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639206147 | Prairie Orthopaedic & Plastic Surgery, P.C. | Physical Therapist | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7551 | 2007-02-28 |
| Street Address |
4130 PIONEER WOODS DR STE 1 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225060015 | Patrick T Hurlbut | Orthopaedic Surgery | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2006-07-06 |
| 1497366926 | Kailin Mcclung | Physician Assistant | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2020-08-10 |
| 1073171815 | Shaun Ring | Physician Assistant | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2019-06-05 |
| 1083107973 | Shannon J Korth | Physician Assistant | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2018-06-14 |
| 1619491750 | John Andrew Chatwell | Physical Therapist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2017-07-31 |
| 1669820320 | Suzanne Sailer | Nurse Practitioner | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2016-06-02 |
| 1912211657 | Kara L Krejci Reed | Podiatrist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2010-08-05 |
| 1427293497 | Lygia Gordin Plioplis | Physician Assistant | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2008-12-04 |
| 1598923518 | Julie Ann Obear | Physical Therapist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2008-05-27 |
| 1225206188 | Gustavo Rozindo Machado | Plastic Surgery | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| 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 |
| 1467490433 | Urology Surgical Center LLC | Clinic/Center | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-06-03 |
| 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 |
| 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 |
| Find all providers in LINCOLN | ||||
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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.