Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Surgical Associates P C

Organization Specialist · NPI 1962697300

Prairie Surgical Associates P C is a Specialist in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2007.

Licensed in
NE
In the registry since
2007

Practice location Address checks out

1919 S 40th St Ste 107
Lincoln, NE 68506-5258
Phone: (402) 486-3400
Fax: (402) 486-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 21192 (NE)

Record details

NPI number1962697300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mota — President · (402) 486-3400
NPI enumeratedSeptember 10, 2007
Last updated in NPPESSeptember 10, 2007
Mailing address1919 S 40th St, Suite 107, Lincoln, NE 68506

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