CENTRAL NEBRASKA SPINAL SURGERY CENTER, P.C. (NPI# 1962560698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962560698 |
Entity Type | Organization |
Organization Name | CENTRAL NEBRASKA SPINAL SURGERY CENTER, P.C. |
Practice Address |
816 22nd Ave Ste 101 Kearney NE 68845-2226 |
Practice Telephone | 3088652557 |
Practice Fax Number | 3088651461 |
Mailing Telephone | 3088652557 |
Mailing Fax Number | 3088651461 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2018-03-17 |
Authorized Official Name | DR. DAVID A BENAVIDES (PRESIDENT) |
Authorized Official Telephone | 3088652557 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025346500 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3500 Central Ave, Suite A, Kearney, NE 688472944 | 3088652557 | 3088651461 |
Street Address |
816 22ND AVE STE 101 |
City | KEARNEY |
State | NE |
Zip Code | 68845-2226 |
NPI | Name | Taxonomy | Address | Enumeration |
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1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
Find all providers in zip 68845 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033190996 | David A Benavides | Orthopaedic Surgery | 3500 Central Ave, Suite A, Kearney, NE 68847-2944 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982103818 | Spine Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 252, Omaha, NE 68127-1244 | 2018-02-06 |
1700385630 | Joint Replacement Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 253, Omaha, NE 68127-1244 | 2018-02-06 |
1730320722 | Noble Spine Centre PC | Orthopaedic Surgery | 4220 Pioneer Woods Dr, Ste B, Lincoln, NE 68506-7564 | 2009-03-20 |
1497704258 | Chris A. Cornett | Orthopaedic Surgery | University of Nebraska Medical, 981080 Nebraska Medical Center, Omaha, NE 68198-1080 | 2006-05-09 |
1104803931 | Geoffrey M Mccullen | Orthopaedic Surgery | 6900 A St, Lincoln, Lincoln, NE 68510-4120 | 2005-12-22 |
1275526238 | Allen A Sossan | Orthopaedic Surgery | 109 N 29th St, Norfolk, NE 68701-3261 | 2005-08-25 |
1386106474 | Sne Care of Ne, LLC | Orthopaedic Surgery | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
1336601830 | H Randal Woodward Md PC | Orthopaedic Surgery | 6751 N 72nd St, Omaha, NE 68122-1746 | 2019-04-03 |
1154682052 | Chase Colton Woodward | Orthopaedic Surgery | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2012-06-06 |
1538307269 | Brad A. Webb | Orthopaedic Surgery | 6900 A St Ste 100, Lincoln, NE 68510-4120 | 2009-02-03 |
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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.