DANIEL ANDREW CHRUSCICKI (NPI# 1861666463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861666463 |
| Entity Type | Individual |
| Full Name | DANIEL ANDREW CHRUSCICKI |
| Credential | M.D. |
| Practice Address |
1710 S 70th St Lincoln NE 68506-1676 |
| Mailing Address |
Po Box 6068 Lincoln NE 68506-0068 |
| Practice Telephone | 4024849000 |
| Practice Fax Number | 4024834223 |
| Mailing Telephone | 4024849000 |
| Mailing Fax Number | 4024834223 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24568 | NE | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
24568 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICAL LICENSE | 24568 | 01 |
| NE | 10025619700 | 05 | |
| NE | RAILROAD MEDICARE | P00870537 | 01 |
| KS | MEDICAL LICENSE | 04-35151 | 01 |
| Street Address |
1710 S 70TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930433 | Jay Alan Sveen | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Ste 200, Lincoln, NE 68506-1677 | 2005-05-23 |
| 1952788481 | Samuel Thomsen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2015-05-05 |
| 1164831491 | Chanda Marie Small | Pharmacist | 1710 S 70th St, Lincoln, NE 68506 | 2014-08-12 |
| 1497985642 | Jordan James Rixen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-07-22 |
| 1083854699 | David Pan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-02-23 |
| 1265690598 | Michelle L. White | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-05-22 |
| 1730216326 | Leanne Renee Carlson | Physician Assistant | 1710 S 70th St, Lincoln, NE 68506-1676 | 2007-02-28 |
| 1982770004 | Mary Linda Loker | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Lincoln Surigical Hospital, Lincoln, NE 68506-1676 | 2006-11-28 |
| 1144217092 | David W. Blodgett | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2005-10-05 |
| 1023002847 | Donald Paul Sauberan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1601 | 2005-09-08 |
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| 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 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437451242 | William J. Smith Md, PC | Ophthalmology | 1650 South 70th Street, Suite 200, Lincoln, NE 68506-1569 | 2010-11-30 |
| 1477624740 | William James Smith | Ophthalmology | 1650 S 70th St, Suite 200, Lincoln, NE 68506-1569 | 2006-11-10 |
| 1649280611 | Lee T Thurber | Ophthalmology | 1101 South 70th St, Ste 200, Lincoln, NE 68510 | 2006-08-09 |
| 1093790834 | Mark R. Young | Ophthalmology | 1500 S 48th St Ste 610, Lincoln, NE 68506-1200 | 2005-12-14 |
| 1033107065 | James Kemper Campbell | Ophthalmology | 7121 A St, Suite 200, Lincoln, NE 68510 | 2005-10-13 |
| 1952788481 | Samuel Thomsen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2015-05-05 |
| 1518281914 | Mario C Mota M D P C | Ophthalmology | 1101 S 70th St, Suite 200, Lincoln, NE 68510-4293 | 2010-03-15 |
| 1497985642 | Jordan James Rixen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-07-22 |
| 1083854699 | David Pan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-02-23 |
| 1265690598 | Michelle L. White | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-05-22 |
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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.