PACIFIC SURGERY CENTER, LLC (NPI# 1720334097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720334097 |
| Entity Type | Organization |
| Organization Name | PACIFIC SURGERY CENTER, LLC |
| Practice Address |
10707 Pacific St Ste 100 Omaha NE 68114-4762 |
| Mailing Address |
6128 S Lyncrest Ave Sioux Falls SD 57108-2560 |
| Practice Telephone | 4029331844 |
| Practice Fax Number | 4029325891 |
| Mailing Telephone | 8553342955 |
| Mailing Fax Number | 6052746186 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | DR. EUCLID DESOUZA (BOARD MEMBER) |
| Authorized Official Telephone | 4023912166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PTAN | NA2347 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC SURGERY CENTER, LLC | 1125 Darlene Ln Ste 201, Eugene, OR 97401 |
| Street Address |
10707 PACIFIC ST STE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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.