SOUTH OMAHA SURGICAL CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1942697735

SOUTH OMAHA SURGICAL CENTER LLC is a healthcare provider. based in Frankfort, Illinois. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. ASC068 (NE). The NPI Number for SOUTH OMAHA SURGICAL CENTER LLC is 1942697735

Main info

Organization
Name
SOUTH OMAHA SURGICAL CENTER LLC
NPI
1942697735
Phone
(815) 469-9750
Address
21120 WASHINGTON PKWY
Authorized Official
MR. DANIEL W BORVAN VICE PRESIDENT CRNA
Enumeration Date
20 April 2015
Last Update Date
9 October 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for SOUTH OMAHA SURGICAL CENTER LLC

  • 21120 WASHINGTON PKWY

    FRANKFORT, IL 604233112

    Phone: (815) 469-9750

    Fax: (815) 469-9752

    Type: Mailing

  • 3201 S 24TH ST

    OMAHA, NE 681081825

    Phone: (402) 504-4071

    Fax: (402) 504-4124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60423)

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Reviews

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Frequently asked questions

Can I verify SOUTH OMAHA SURGICAL CENTER LLC with an NPI only?
You can start verification with NPI 1942697735 for SOUTH OMAHA SURGICAL CENTER LLC, then check state licensing separately.
Is SOUTH OMAHA SURGICAL CENTER LLC still practicing?
SOUTH OMAHA SURGICAL CENTER LLC is currently listed as active in the public NPI registry.
What taxonomy line describes SOUTH OMAHA SURGICAL CENTER LLC?
For research purposes, treat SOUTH OMAHA SURGICAL CENTER LLC as Ambulatory Surgical Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SOUTH OMAHA SURGICAL CENTER LLC?
SOUTH OMAHA SURGICAL CENTER LLC's geographic hint is Frankfort, Illinois in our summary view.
Why does SOUTH OMAHA SURGICAL CENTER LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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