Provider Demographics
NPI:1336334309
Name:YORK SURGICAL ASSOCIATES , PC
Entity type:Organization
Organization Name:YORK SURGICAL ASSOCIATES , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GROWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-362-4339
Mailing Address - Street 1:2114 N LINCOLN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1072
Mailing Address - Country:US
Mailing Address - Phone:402-362-4339
Mailing Address - Fax:402-362-7743
Practice Address - Street 1:2114 N LINCOLN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1072
Practice Address - Country:US
Practice Address - Phone:402-362-4339
Practice Address - Fax:402-362-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19007174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025014300Medicaid
NE10025014300Medicaid