Provider Demographics
NPI:1154592392
Name:CONSULTANTS IN SURGICAL SPECIALTIES,PC
Entity type:Organization
Organization Name:CONSULTANTS IN SURGICAL SPECIALTIES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:NEHME
Authorized Official - Last Name:KINGSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-484-7600
Mailing Address - Street 1:1500 S 48TH ST
Mailing Address - Street 2:SUITE 709
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1276
Mailing Address - Country:US
Mailing Address - Phone:402-484-7600
Mailing Address - Fax:402-484-7660
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 709
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-484-7600
Practice Address - Fax:402-484-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-16
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17079208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1689789398OtherNPI
NE=========00Medicaid
NE095951Medicare PIN