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POPP COSMETIC SURGERY PC
NPI 1093979163
Surgery - Plastic and Reconstructive Surgery in Omaha, NE

Active since July 17, 2008CLIA 28D1091940 · Waiver
11919 GRANT ST, SUITE 100, OMAHA, NE 68164(402) 391-4558(402) 391-7401 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Popp Cosmetic Surgery Pc NPPES

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

POPP COSMETIC SURGERY PC (NPI 1093979163) is a healthcare organization registered as a plastic and reconstructive surgery in Omaha, Nebraska and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Jeffrey Collins Popp, President/owner, as its authorized official.

NPPES Registry Identity

NPI1093979163
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePOPP COSMETIC SURGERY PC
Location Address11919 GRANT ST, SUITE 100Omaha, NE 68164-3475
Mailing Address11919 Grant St, Suite 100Omaha, NE 68164-3475 · (402) 391-4558 · Fax (402) 391-7401
Phone(402) 391-4558
Fax(402) 391-7401
Organization SubpartNo
Authorized OfficialJeffrey Collins PoppPresident/owner · (402) 391-4558
Enumeration DateJuly 17, 2008
✔ NPI 1093979163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NE · 15046
Definition

A surgeon who specializes in plastic and reconstructive surgery.

11919 GRANT ST, Omaha, NE 68164
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Other Identifiers 11

Other180011030NE · Railroad Medicare
Medicare UPINB67895NE
Other01644NE · Bluecross Blueshield
OtherF235478NE · Midlands Choice
Medicare PIN099093NE
Other03330NE · Bluecross Blueshield
Other497NE · Midlands Choice
Medicaid=========01NE
Other13-00055NE · United Healthcare
Medicaid=========00NE
Medicare PIN095556NE

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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 28D1091940

Popp Cosmetic Surgery · Omaha, NE
Active · expires Nov 12, 2026
CLIA Number28D1091940
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorJeffrey C. Popp
Laboratory Phone(402) 391-4558
Laboratory LocationPopp Cosmetic Surgery11919 Grant Street, Suite 100, Omaha, NE 68164
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. JEFFREY COLLINS POPP MD
Surgery (Plastic and Reconstructive Surgery)
11919 GRANT ST, SUITE 100
OMAHA, NE 68164
Douglas County (402) 391-4558
R. W. ROUBAL, D.D.S., P.C.
Clinic/Center (Dental)
11919 GRANT ST, SUITE 140
OMAHA, NE 68164
Douglas County (402) 493-4175
CRYSTAL ANZALONE MS, LMHP
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 598-8511
WINDOW TO THE SOUL COUNSELING, INC.
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 598-8511
JAYNE STICKMAN MS, LMHP
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 707-9695
RENEE L JOHNSON MS, LMHP, LPC, NCC
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 312-0053
JEFFREY J HARVEY LMHP
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 541-5269
JH COUNSELING, LLC
Counselor (Mental Health)
11919 GRANT ST, SUITE 201
OMAHA, NE 68164
Douglas County (402) 541-5269

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 Popp Cosmetic Surgery PC's NPI number?

The NPI number for Popp Cosmetic Surgery PC is 1093979163. It was assigned to this organization in the NPPES registry on July 17, 2008.

Where is Popp Cosmetic Surgery PC located?

Popp Cosmetic Surgery PC is located at 11919 Grant St Suite 100, Omaha, NE 68164. The listed phone number is (402) 391-4558.

What is Popp Cosmetic Surgery PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Popp Cosmetic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1091940) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Popp Cosmetic Surgery PC was last updated on July 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.