Provider Demographics
NPI:1740396068
Name:ORTHOPAEDIC & ARTHRITIS SURGERY CENTER PC
Entity Type:Organization
Organization Name:ORTHOPAEDIC & ARTHRITIS SURGERY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRAL
Authorized Official - Middle Name:
Authorized Official - Last Name:VARHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-381-0100
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802
Mailing Address - Country:US
Mailing Address - Phone:308-381-0100
Mailing Address - Fax:
Practice Address - Street 1:810 DIERS AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68802
Practice Address - Country:US
Practice Address - Phone:308-381-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20634207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
271247Medicare PIN