Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Surgery Adult Pediatric Vascular PC

Organization Surgery Physician · NPI 1417138116

Surgery Adult Pediatric Vascular PC provides Surgery Physician services in Hastings, Nebraska. Licensed in Nebraska. Registered with an NPI since 2007.

Licensed in
NE
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2115 N Kansas Ave Ste 107
Hastings, NE 68901-2615 Not confirmed with CMS for 16 years — call before visiting
Phone: (402) 462-2330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 14009 (NE)

Record details

NPI number1417138116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Barth — Owner · (402) 462-5555
NPI enumeratedNovember 21, 2007
Last updated in NPPESApril 12, 2010
Mailing addressPo Box 249, Suite 107, Hastings, NE 68902-0249

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