NEBRASKA NEUROSURGERY & SPINE CLINIC P C (NPI# 1972793925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972793925 |
| Entity Type | Organization |
| Organization Name | NEBRASKA NEUROSURGERY & SPINE CLINIC P C |
| Practice Address |
3219 Central Ave Suite 103 Kearney NE 68847-2949 |
| Practice Telephone | 3082349822 |
| Practice Fax Number | 3082349824 |
| Mailing Telephone | 3082349822 |
| Mailing Fax Number | 3082349824 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | DR. ADELEKE E BADEJO (NEUROSURGEON / OWNER) |
| Authorized Official Telephone | 3082349822 |
| Authorized Official Credential | M.D., FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 19006 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100143550B | 05 | |
| KS | 100143550C | 05 | |
| KS | BCBS KS | 102023 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215979802 | Nebraska Neurosurgery & Spine Clinic P C | Neurological Surgery | 3219 Central Ave, Suite 103, Kearney, NE 68847-2949 | 2006-06-11 |
| Street Address |
3219 CENTRAL AVE SUITE 103 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979950 | Sean Denney | Internal Medicine | 3219 Central Ave, Kearney, NE 68847-2949 | 2005-08-15 |
| 1386097467 | Taya Nicole O'brien | Nurse Practitioner | 3219 Central Ave, Ste. 201, Kearney, NE 68847-2949 | 2016-07-13 |
| 1407207335 | Kiley Wall | Occupational Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-06-22 |
| 1407205867 | Adam Liess | Physical Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-06-07 |
| 1396102760 | Miranda Little | Occupational Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-01-15 |
| 1487026092 | Jordan Kershaw | Physical Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2015-10-21 |
| 1558744276 | Alexa Thiel | Speech-Language Pathologist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2015-06-30 |
| 1205228301 | Meghan Marguerite Freeze | Registered Nurse | 3219 Central Ave, Ste 200, Kearney, NE 68847-2949 | 2015-02-26 |
| 1437541018 | Chelse Krohn | Speech-Language Pathologist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2015-02-19 |
| 1558752121 | Kylee Saathoff | Occupational Therapist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2015-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174653224 | Mid America Neurosurgery Clinic PC | Neurological Surgery | 3219 Central Ave Ste 107, Kearney, NE 68847-2949 | 2007-03-07 |
| 1245313253 | Chinyere N Obasi | Neurological Surgery | 3219 Central Ave, Suite 200, Kearney, NE 68847-2949 | 2006-10-23 |
| 1215979802 | Nebraska Neurosurgery & Spine Clinic P C | Neurological Surgery | 3219 Central Ave, Suite 103, Kearney, NE 68847-2949 | 2006-06-11 |
| 1063452845 | Adeleke E Badejo | Neurological Surgery | 3219 Central Ave, Suite 103, Kearney, NE 68847-2949 | 2006-06-08 |
| 1194706077 | Ramon R Salumbides | Neurological Surgery | 3219 Central Ave, Suite 107, Kearney, NE 68847-2949 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787783 | Md West One, PC | Neurological Surgery | 7710 Mercy Rd Ste 224, Omaha, NE 68124-2346 | 2017-05-17 |
| 1053848390 | Md West One, PC | Neurological Surgery | 3301 E Elkhorn Dr Ste 100, Fremont, NE 68025-6240 | 2017-05-17 |
| 1376804757 | Sun Ik Lee | Neurological Surgery | 3835 Meadowlark Cir, Grand Island, NE 68803-1562 | 2012-06-01 |
| 1053569111 | Andrew Dale Livingston | Neurological Surgery | 2222 S 16th St Ste 305, Lincoln, NE 68502-3762 | 2008-09-03 |
| 1225252042 | Joshua Randall Anderson | Neurological Surgery | 705 Orleans Dr, Grand Island, NE 68803-3409 | 2007-04-12 |
| 1154351930 | Omar F Jimenez | Neurological Surgery | 2 W 42nd St Ste 2100, Rwpc Neurosurgery, Scottsbluff, NE 69361-4669 | 2006-07-04 |
| 1023062999 | Aviva Abosch | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2006-05-22 |
| 1285684563 | Arun-angelo Patil | Neurological Surgery | 2900 Elk Ln, Fremont, NE 68025-8691 | 2006-05-10 |
| 1922086644 | Benjamin Richard Gelber | Neurological Surgery | 2222 S 16th Street, Medical Tower B, #305, Lincoln, NE 68502 | 2006-01-03 |
| 1558345264 | Daniel Joel Tomes | Neurological Surgery | 6041 Village Dr, Suite # 110, Lincoln, NE 68516-6619 | 2005-12-06 |
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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.