# PLASTIC SURGICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871795211
- **Authorized official:** DR. STEVEN B. BLACK M.D. (M.D.)
- **Authorized official phone:** (402) 552-2200

## Contact information

- **Practice address:** 4239 FARNAM ST, \#219, OMAHA, NE 68131-2868
- **Practice address phone:** (402) 552-2200
- **Practice address fax:** (402) 552-2207
- **Mailing address:** 4239 FARNAM ST STE 219, OMAHA, NE 68131-2803
- **Mailing address phone:** (402) 552-2200
- **Mailing address fax:** (402) 552-2207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 12515 | NE | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020