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SPECOPS SURGERY LLC NPI 1316567381


NPI Information

NPI: 1316567381
Provider Name: SPECOPS SURGERY, LLC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
701 PINNACLE DR STE 107
PAPILLION, NE
ZIP 68046
Phone: (402) 370-8228
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SPECOPS SURGERY, LLC is a neurological surgery in Papillion, NE. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. SPECOPS SURGERY, LLC NPI is 1316567381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 PINNACLE DR STE 107
PAPILLION, NE
ZIP 68046-228
Phone: (402) 370-8228
Fax: (402) 227-8245

The provider's authorized official is Demetrio Juan Aguila .
The authorized official title is President / Ceo and has the following contact phone number (402) 370-8228.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 10/10/2023.


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
1207Y00000XOtolaryngologyNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryNo
3207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
4207YX0602XOtolaryngologyOtolaryngic AllergyNo
5207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
6208200000XPlastic SurgeryNo
72086S0122XSurgeryPlastic and Reconstructive SurgeryNo
8208VP0014XPain MedicineInterventional Pain MedicineNo
9367500000XNurse Anesthetist, Certified RegisteredNo
10207L00000XAnesthesiologyNo
11207LP2900XAnesthesiologyPain MedicineNo
12207Q00000XFamily MedicineNo
13207KA0200XAllergy & ImmunologyAllergyNo
14207T00000XNeurological SurgeryYes

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: 4/28/2024

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