Provider Type Icon

POPP COSMETIC SURGERY PC NPI 1093979163


NPI Information

NPI: 1093979163
Provider Name: POPP COSMETIC SURGERY PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
11919 GRANT ST
SUITE 100
OMAHA, NE
ZIP 68164
Phone: (402) 391-4558
Get Directions

POPP COSMETIC SURGERY PC is a plastic and reconstructive surgery surgery in Omaha, NE. The provider is a surgeon who specializes in plastic and reconstructive surgery. POPP COSMETIC SURGERY PC NPI is 1093979163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11919 GRANT ST
SUITE 100
OMAHA, NE
ZIP 68164-475
Phone: (402) 391-4558
Fax: (402) 391-7401

The provider's authorized official is Jeffrey Collins Popp .
The authorized official title is President/owner and has the following contact phone number (402) 391-4558.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.


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
12086S0122XSurgeryPlastic and Reconstructive Surgery15046NEBRASKAYes

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
1180011030OTHERNEBRASKARAILROAD MEDICARE
2=========OTHERNEBRASKATRICARE
3B67895MEDICARE UPINNEBRASKA
401644OTHERNEBRASKABLUECROSS BLUESHIELD
5F235478OTHERNEBRASKAMIDLANDS CHOICE
6099093MEDICARE PINNEBRASKA
703330OTHERNEBRASKABLUECROSS BLUESHIELD
8497OTHERNEBRASKAMIDLANDS CHOICE
9=========01MEDICAIDNEBRASKA
1013-00055OTHERNEBRASKAUNITED HEALTHCARE
11=========00MEDICAIDNEBRASKA
12095556MEDICARE PINNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.