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PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY P.C. NPI 1639206147


NPI Information

NPI: 1639206147
Provider Name: PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.

Former Legal Business Name: PRAIRIE SHOULDER ELBOW & HAND CENTER

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
4130 PIONEER WOODS DR
SUITE 1
LINCOLN, NE
ZIP 68506
Phone: (402) 489-4700
Get Directions

PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C. is an orthopaedic surgery in Lincoln, NE. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C. NPI is 1639206147. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Prairie Shoulder Elbow & Hand Center.

The provider's business location address is:

4130 PIONEER WOODS DR
SUITE 1
LINCOLN, NE
ZIP 68506-551
Phone: (402) 489-4700

The provider's authorized official is Patrick T Hurlbut .
The authorized official title is Physician-owner and has the following contact phone number (402) 489-4700.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 4/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery19446NEBRASKAYes
2225100000XPhysical Therapist1739NEBRASKANo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1612249600OTHERDOL/ACS WORKERS COMP
2DG0311OTHERRRM
310025490400MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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