LINCOLN ENDOSCOPY CENTER, LLC (NPI# 1992741300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992741300 |
| Entity Type | Organization |
| Organization Name | LINCOLN ENDOSCOPY CENTER, LLC |
| Practice Address |
4545 R St Suite 101 Lincoln NE 68503-3799 |
| Practice Telephone | 4024654545 |
| Practice Fax Number | 4024653621 |
| Mailing Telephone | 4024654545 |
| Mailing Fax Number | 4024653621 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | DR. R JAMES SORRELL (BOARD PRESIDENT) |
| Authorized Official Telephone | 4024654545 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC011 | NE | Ambulatory Health Care Facilities |
| Street Address |
4545 R ST SUITE 101 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68503-3799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182757 | Clark W Antonson | Specialist | 4545 R St, Lincoln, NE 68503-3723 | 2005-08-25 |
| 1356877385 | Kristin J Mcquistan | Nurse Practitioner | 4545 R St, Ste 100, Lincoln, NE 68503-3799 | 2017-05-11 |
| 1255780417 | Jelayna Stauffer | Registered Nurse | 4545 R St, Ste 100, Lincoln, NE 68503-3799 | 2016-06-08 |
| 1285025601 | Makayla Wiese | Nurse Practitioner | 4545 R St, Ste 100, Lincoln, NE 68503-3799 | 2015-02-06 |
| 1235534165 | Alexandra Leigh Johnson | Physician Assistant | 4545 R St, 100, Lincoln, NE 68503-3799 | 2014-11-04 |
| 1497001473 | Elena Kristine Skillett | Nurse Practitioner | 4545 R St, Suite 100, Lincoln, NE 68503-3799 | 2012-07-27 |
| 1437451598 | Ann E Walker | Nurse Practitioner | 4545 R St, Lincoln, NE 68503-3799 | 2010-11-23 |
| 1942434659 | Erik A Bowman | Internal Medicine | 4545 R St, #100, Lincoln, NE 68503-3799 | 2009-05-08 |
| 1548418197 | Michael Paul Roth | Internal Medicine | 4545 R St, Suite 100, Lincoln, NE 68503-3799 | 2008-09-08 |
| 1396901518 | Rebecca B Jurgens | Nurse Practitioner | 4545 R St, Lincoln, NE 68503-3799 | 2008-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093205007 | Jessica Palmer-bacon | Counselor | 2000 P Street, Lincoln, NE 68503 | 2018-05-15 |
| 1770999138 | Emily Willett | Dentist | 400 E Campus Loop South, University of Nebraska Lincoln, Lincoln, NE 68503 | 2014-07-07 |
| 1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
| 1689928160 | Jay C Spilker | Registered Nurse | 2633 P St., Lincoln, NE 68503 | 2012-11-05 |
| 1912282880 | Fouy Kok Chau | Dentist | 4605 Holdrege St, Apt 1, Lincoln, NE 68503 | 2011-10-11 |
| 1194003624 | Callista Marie Holwegner | Dentist | 1304 N. 40th Street, Lincoln, NE 68503 | 2011-08-02 |
| 1033445515 | Mabelle Labitoria | Physician Assistant | 1021 No. 27th Street, People's Health Center, Lincoln, NE 68503 | 2009-10-19 |
| 1063699122 | Peter Sartori IIi | Dentist | 300 N 44th, Suite 108, Lincoln, NE 68503 | 2008-01-30 |
| 1437370269 | Robin R Post | Dentist | 144 N. 44th Street, Suite F, Lincoln, NE 68503 | 2007-05-01 |
| 1851459721 | Gregory E Utecht | Dentist | 144 North 44th Street, Suite B, Lincoln, NE 68503 | 2006-12-04 |
| Find all providers in zip 68503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| 1699718437 | Nebraska Heart Hospital | Clinic/Center | 7500 So. 91st St., Lincoln, NE 68526-9772 | 2006-06-13 |
| 1467490433 | Urology Surgical Center LLC | Clinic/Center | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-06-03 |
| 1215904131 | Nebraska Surgery Center LLC | Clinic/Center | 625 S 70th St, Lincoln, NE 68510-2404 | 2006-03-01 |
| 1184699878 | Loc Surgery Center Inc | Clinic/Center | 6900 A St Ste 200, Lincoln, NE 68510-4120 | 2006-02-17 |
| 1255809620 | Prairie Orthopaedic & Plastic Surgery, P.C. | Clinic/Center | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2018-11-05 |
| 1548710775 | Lincoln Digestive Health Center LLC | Clinic/Center | 2300 S 16th St, Suite 512, Lincoln, NE 68502-3704 | 2016-10-12 |
| 1053565259 | Southwest Lincoln Surgery Center, LLC | Clinic/Center | 2222 S 16th St, Suite 315, Lincoln, NE 68502-3796 | 2008-11-14 |
| 1235202201 | Rhode Island Dermatology Obs | Clinic/Center | 3 Wake Robin Rd, Unit 5, Lincoln, RI 02865-4208 | 2006-11-16 |
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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.