STAR CITY SURGICAL, P.C.
NPI 1285823773
Clinic/Center - Medical Specialty in Lincoln, NE

Active since October 19, 2007
3512 S 75TH ST, LINCOLN, NE 68506(402) 440-8636(402) 486-0243 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Star City Surgical, P.c. NPPES

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

STAR CITY SURGICAL, P.C. (NPI 1285823773) is a healthcare organization registered as a medical specialty in Lincoln, Nebraska and active in the NPI registry since October 2007. The organization lists Judith Kay Degraff, M.d., as its authorized official.

NPPES Registry Identity

NPI1285823773
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSTAR CITY SURGICAL, P.C.
Location Address3512 S 75TH STLincoln, NE 68506-4607
Mailing AddressPo Box 6213Lincoln, NE 68506-0213 · (402) 440-8636 · Fax (402) 486-0243
Fax(402) 486-0243
Organization SubpartNo
Authorized OfficialJudith Kay DegraffM.d. · (402) 440-8636
Enumeration DateOctober 19, 2007
Last NPPES UpdateDecember 21, 2010
NPI 1285823773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in NE · 20093
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3512 S 75TH ST, Lincoln, NE 68506

Other Identifiers 3

Medicaid=========00NE
Medicare PIN098955
Medicare UPING29954

Other Providers at the Same Location NPPES

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

Surgery
3512 S 75TH ST
LINCOLN, NE 68506

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 Star City Surgical, P.C.'s NPI number?

The NPI number for Star City Surgical, P.C. is 1285823773. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Star City Surgical, P.C. located?

Star City Surgical, P.C. is located at 3512 S 75th St, Lincoln, NE 68506. The listed phone number is (402) 440-8636.

What is Star City Surgical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Star City Surgical, P.C. was last updated on December 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.