GASTROENTEROLOGY SPECIALTIES, P.C.
NPI 1083747380
Specialist in Lincoln, NE

Active since March 14, 2007CLIA Certified · 2 labs
4545 R ST, LINCOLN, NE 68503(402) 465-4545(402) 465-3621 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2021, Aug 17, 2018 (2 updates tracked since 2018).

About Gastroenterology Specialties, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY SPECIALTIES, P.C. (NPI 1083747380) is a healthcare organization registered as a specialist in Lincoln, Nebraska and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Mark G Griffin, Board President, as its authorized official.

NPPES Registry Identity

NPI1083747380
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY SPECIALTIES, P.C.
Location Address4545 R STLincoln, NE 68503-3799
Mailing Address4545 R StLincoln, NE 68503-3799 · (402) 465-4545 · Fax (402) 465-3621
Fax(402) 465-3621
Organization SubpartNo
Authorized OfficialMark G GriffinBoard President · (402) 465-4545
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1083747380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NE · 001-005685907
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4545 R ST, Lincoln, NE 68503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 28D0945424

Gastroenterology Specialties Histology Lab · Lincoln, NE
Active · expires Dec 17, 2027
CLIA Number28D0945424
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Kerry L. Bernal
Laboratory Phone(402) 465-4545
Laboratory LocationGastroenterology Specialties Histology Lab4545 R Street Room 202, Lincoln, NE 68503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 28D2022396

Gastroenterology Specialties PC Research Lab · Lincoln, NE
Active · expires Mar 31, 2027
CLIA Number28D2022396
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Paul F. Petersen MD
Laboratory Phone(402) 465-4545
Laboratory LocationGastroenterology Specialties PC Research Lab4545 R Street - 2nd Floor, Lincoln, NE 68503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4545 R ST, SUITE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner
4545 R ST
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Specialist
4545 R ST
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner (Family)
4545 R ST
LINCOLN, NE 68503
Physician Assistant (Medical)
4545 R ST, 100
LINCOLN, NE 68503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Specialties, P.C.'s NPI number?

The NPI number for Gastroenterology Specialties, P.C. is 1083747380. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Gastroenterology Specialties, P.C. located?

Gastroenterology Specialties, P.C. is located at 4545 R St, Lincoln, NE 68503. The listed phone number is (402) 465-4545.

What is Gastroenterology Specialties, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Gastroenterology Specialties, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gastroenterology Specialties, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Gastroenterology Specialties, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gastroenterology Specialties, P.C. was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.