Basic Information
Provider Information
NPI: 1821539768
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MASINTER
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10001 CROMWELL DR
Address2:  
City: LINCOLN
State: NE
PostalCode: 685169266
CountryCode: US
TelephoneNumber: 3045501936
FaxNumber:  
Practice Location
Address1: 4800 HOSPITAL PKWY
Address2:  
City: BEATRICE
State: NE
PostalCode: 683106906
CountryCode: US
TelephoneNumber: 4022283344
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/11/2017
LastUpdateDate: 06/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X2566NEY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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