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METROPOLITAN PLASTIC & RECONSTRUCTIVE SURGERY PC NPI 1306045968


NPI Information

NPI: 1306045968
Provider Name: METROPOLITAN PLASTIC & RECONSTRUCTIVE SURGERY, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
17030 LAKESIDE HILLS PLZ
SUITE 214
OMAHA, NE
ZIP 68130
Phone: (402) 758-5500
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METROPOLITAN PLASTIC & RECONSTRUCTIVE SURGERY, PC is a plastic and reconstructive surgery surgery in Omaha, NE. The provider is a surgeon who specializes in plastic and reconstructive surgery. METROPOLITAN PLASTIC & RECONSTRUCTIVE SURGERY, PC NPI is 1306045968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17030 LAKESIDE HILLS PLZ
SUITE 214
OMAHA, NE
ZIP 68130-396
Phone: (402) 758-5500
Fax: (402) 758-5510

The provider's authorized official is R. Coleen Stice .
The authorized official title is President and has the following contact phone number (402) 758-5500.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 8/21/2008.


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 SurgeryYes

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
1263153MEDICARE 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

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