PLASTIC SURGICAL CENTER


Address: 4239 Farnam St, #219, Omaha, NE 68131-2868
Phone: 4025522200

PLASTIC SURGICAL CENTER (NPI# 1871795211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871795211
Entity Type Organization
Organization Name PLASTIC SURGICAL CENTER
Practice Address 4239 Farnam St
#219
Omaha
NE 68131-2868
Mailing Address 4239 Farnam St Ste 219
Omaha
NE 68131-2803
Practice Telephone 4025522200
Practice Fax Number 4025522207
Mailing Telephone 4025522200
Mailing Fax Number 4025522207
Enumeration Date 2007-06-05
Last Update Date 2020-08-22
Authorized Official Name DR. STEVEN B. BLACK (M.D.)
Authorized Official Telephone 4025522200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 12515 NE Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285722264 Plastic Surgical Center Plastic Surgery 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 2006-10-11

Office Location

Street Address 4239 FARNAM ST
#219
City OMAHA
State NE
Zip Code 68131-2868

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013997741 Haysam Akkad Internal Medicine 4239 Farnam St, #100, Omaha, NE 68131-2868 2006-01-19
1669771580 Ashley Marie Cox Speech-Language Pathologist 4239 Farnam St, Suite 509, Omaha, NE 68131-2868 2011-03-17
1730401779 Lindsey J Kaiser Physician Assistant 4239 Farnam St, #301, Omaha, NE 68131-2868 2010-02-18
1023258795 Haysam Akkad, Md, PC Internal Medicine 4239 Farnam St, #100, Omaha, NE 68131-2868 2009-02-20
1487803862 Amy Sue Renken Speech-Language Pathologist 4239 Farnam St, Suite 509, Omaha, NE 68131-2868 2008-09-10
1831348168 Jill R Fahnholz Speech-Language Pathologist 4239 Farnam St, Suite # 509, Omaha, NE 68131-2868 2008-09-10
1487803995 Christine Thies Berke Nurse Practitioner 4239 Farnam St, Suite 300, Omaha, NE 68198-0001 2008-09-09
1780854216 Nebraska Medical Center Internal Medicine 4239 Farnam St, #100, Omaha, NE 68131-2868 2008-03-12
1629256888 Omaha Heart Institute PC Physician Assistant 4239 Farnam St, #100, Omaha, NE 68131-2868 2008-02-09
1164617551 Forsman Richard O Md Internal Medicine 4239 Farnam St, Suite 825, Omaha, NE 68131-2868 2007-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821626086 Spring Forward Ot, LLC Occupational Therapist 429 N. 38th Ave, Omaha, NE 68131 2020-03-31
1568944528 Amy Vodicka Case Manager/Care Coordinator 3612 Cuming St., Omaha, NE 68131 2018-09-05
1982121919 Lakeisha Marie Phelps Peer Specialist 3568 Dodge St, Omaha, NE 68131 2017-08-30
1063939098 William L. Rolfe Community Health Worker 3568 Dodge Street, Suite 2, Omaha, NE 68131 2017-08-30
1578086294 Nebraska Family Support Network Community/Behavioral Health 3568 Dodge St Ste 2, Omaha, NE 68131 2017-07-25
1124558937 Beverly Hamilton Case Manager/Care Coordinator 3612 Cuming, Omaha, NE 68131 2017-06-14
1396291068 Elizabeth George Internal Medicine 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 2016-08-31
1639625999 Samuel Ramon Brown Surgery 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 2016-08-28
1205289238 Srilakshmi Reddy Surgery 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 2016-07-14
1881069409 Jordan Sieh Behavioral Analyst 444 S. 44th St, Omaha, NE 68131 2015-12-08
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1588913180 Nebraska Surgical Anesthesia Services LLC Specialist 11819 Miracle Hills Drive, Suite 201, Omaha, NE 68154-5308 2012-08-29
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
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Competitor

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City OMAHA
Zip Code 68131

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Dataset Information

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.

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