Provider Demographics
NPI:1073865705
Name:NEBRASKA NEUROSURGERY GROUP LLC
Entity Type:Organization
Organization Name:NEBRASKA NEUROSURGERY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDE/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:TOMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-904-4729
Mailing Address - Street 1:5620 S 27TH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-6619
Mailing Address - Country:US
Mailing Address - Phone:402-904-4729
Mailing Address - Fax:402-904-5243
Practice Address - Street 1:5620 S 27TH
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1612
Practice Address - Country:US
Practice Address - Phone:402-904-4729
Practice Address - Fax:402-904-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty