NEBRASKA SURGICAL ANESTHESIA SERVICES LLC (NPI# 1588913180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588913180 |
| Entity Type | Organization |
| Organization Name | NEBRASKA SURGICAL ANESTHESIA SERVICES LLC |
| Practice Address |
11819 Miracle Hills Drive Suite 201 Omaha NE 68154-5308 |
| Mailing Address |
Po Box 935566 Atlanta GA 31193-5566 |
| Practice Telephone | 8008359102 |
| Practice Fax Number | 7066501034 |
| Mailing Telephone | 6369386868 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. ANDREW R. RIBAUDO (PRESIDENT) |
| Authorized Official Telephone | 4044461417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
11819 MIRACLE HILLS DRIVE SUITE 201 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942758099 | Kristee Nash | Specialist | 13021 Patrick Cir, Omaha, NE 68164-3937 | 2016-09-19 |
| 1740634070 | Mary Marlene Allen | Specialist | 1317 N 148th Plz, Omaha, NE 68154-1118 | 2016-04-22 |
| 1790042786 | Board of Regents of University of Nebraska | Specialist | Emily and 42nd Street, Finanace & Business Services, Adc 5020, Omaha, NE 68198-5070 | 2012-04-16 |
| 1710263272 | Stephen Skulsky Ph D PC | Specialist | 3239 N 159th Ave, Omaha, NE 68116-2454 | 2011-10-28 |
| 1245537067 | Amy K Price | Specialist | 2953 S 168th St Ste 101, Omaha, NE 68130-2000 | 2011-02-14 |
| 1033410782 | Karl True Hurst | Specialist | 10914 Cricket Cutoff, Omaha, AR 72662-9375 | 2010-11-11 |
| 1104145077 | Aesthetic & Reconstructive Surgery PC | Specialist | 2727 S 144th St Ste 205, Omaha, NE 68144-5230 | 2010-05-18 |
| 1558508960 | Medlink | Specialist | 4822 Dodge St, Omaha, NE 68132-3111 | 2009-01-07 |
| 1144465352 | Ortho Medics Omaha | Specialist | 13217 F St, Omaha, NE 68137-1131 | 2008-12-03 |
| 1043406051 | Carla Sue Christenson | Specialist | 985459 Nebraska Medical Ctr, Omaha, NE 68198-5459 | 2007-09-24 |
| 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.