DR. ELIZABETH MARIE KLAWITTER (NPI# 1043390578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043390578 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MARIE KLAWITTER |
| Credential | D.P.M. |
| Practice Address |
11071 W Maple Rd Omaha NE 68164-2604 |
| Practice Telephone | 4023154344 |
| Practice Fax Number | 4023154343 |
| Mailing Telephone | 4023154344 |
| Mailing Fax Number | 4023154343 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 280 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | UHC ID # | 2700248 | 01 |
| NE | DMERC ID # | 5076470001 | 01 |
| NE | BCBS ID # | 02516 | 01 |
| NE | 10024973600 | 05 | |
| NE | MIDLANDS CHOICE ID # | 421572165 | 01 |
| Street Address |
11071 W MAPLE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486420 | Michelle Antionette Brown | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-10-30 |
| 1194338848 | Amber J Gillmore | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-08-24 |
| 1760091102 | Kari Lynn Spangler | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-07-30 |
| 1790292241 | Rachel Marie Swanson | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2018-01-05 |
| 1831330323 | Nathan Thomas Penney | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2009-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607298 | Advanced Foot & Ankle LLC | Podiatrist | 3213 South 24th Street, Suite 101b, Omaha, NE 68108-1832 | 2016-09-21 |
| 1467830083 | Ryan Supon | Podiatrist | 2824 North 6th Ave, Omaha, NE 68104-3928 | 2015-05-14 |
| 1982826111 | Ankle & Foot Clinic PC | Podiatrist | 8625 Q St, Omaha, NE 68127-3673 | 2007-05-03 |
| 1467532986 | Steven Dale Meinhold | Podiatrist | 11334 Elm St, Omaha, NE 68144-4733 | 2006-10-17 |
| 1487749230 | Omaha Foot Care Center Inc | Podiatrist | 6659 Sorensen Parkway, Omaha, NE 68152-2139 | 2006-10-04 |
| 1851329114 | Michael P Cullen | Podiatrist | 16909 Burke St., Suite 200, Omaha, NE 68118 | 2006-06-28 |
| 1932142254 | David E Cornell | Podiatrist | 1207 S 13th St, Omaha, NE 68108-0587 | 2006-06-14 |
| 1114971173 | Precision Foot & Ankle Center PC | Podiatrist | 7811 Chicago Court, Omaha, NE 68114 | 2006-05-22 |
| 1710943279 | Jeffrey Mark Pollens | Podiatrist | 15403 Saratoga St, Omaha, NE 68116-8491 | 2006-04-25 |
| 1952363533 | Kent R Dinucci | Podiatrist | 8625 Q Street, Omaha, NE 68127-3673 | 2006-04-06 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.