MR. JOHN J. TENNITY (NPI# 1194728915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194728915 |
| Entity Type | Individual |
| Full Name | MR. JOHN J. TENNITY |
| Credential | D.P.M. |
| Practice Address |
1150 N 83rd St Lincoln NE 68505-2094 |
| Practice Telephone | 4024834485 |
| Practice Fax Number | 4024835372 |
| Mailing Telephone | 4024834485 |
| Mailing Fax Number | 4024835372 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
237 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD ID | 2572 | 01 |
| NE | 47083655807 | 05 | |
| NE | UNITED HEALTHCARE ID | 27-00182 | 01 |
| NE | RAILROAD MEDICARE | 48033679 | 01 |
| Street Address |
1150 N 83RD ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68505-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091638 | Teresa K Burnap | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2005-05-24 |
| 1487069100 | Matthew Williamson | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2014-06-23 |
| 1538457619 | Derek Miller | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2011-07-11 |
| 1235461294 | Joshua Morton Vest | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2010-02-02 |
| 1629207261 | Jeffrey C Wienke Jr. | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2009-07-03 |
| 1750483012 | Frank John Rizzo | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2006-09-05 |
| 1972557635 | Northwoods Surgery Center LLC | Clinic/Center | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2006-05-19 |
| 1730181751 | Capital Foot & Ankle, P.C. | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1841544087 | Lance Tyler Otto | Chiropractor | 8222 Holdrege St., Lincoln, NE 68505 | 2012-11-08 |
| 1750685186 | George Randy Jeffrey | Physical Therapist | 770 N Cotner, # 125, Lincoln, NE 68505 | 2010-12-28 |
| 1194970327 | Rebecca G Guittar | Dietitian, Registered | 1601 N. 84th St., Hy-vee, Inc, Lincoln, NE 68505 | 2008-12-02 |
| 1649470659 | Linc Care, A Joint Venture | Durable Medical Equipment & Medical Supplies | 1601 North 86th Street, Suite 200, Lincoln, NE 68505 | 2007-07-19 |
| 1235354820 | Professional Eyecare Gateway Inc. | Optometrist | 6100 O St #59, Lincoln, NE 68505 | 2007-04-17 |
| 1548391774 | Stanley Leonard Schulte | Chiropractor | 1777 N. 86th St, Ste 102, Lincoln, NE 68505 | 2007-03-08 |
| 1396871224 | Allison Joanne Vyhnalek | Licensed Practical Nurse | 630 N Cotner, Suite 204, Lincoln, NE 68505 | 2007-02-26 |
| 1053454124 | William Jeffrey Geisert | Optometrist | 6100 O St, Bldg #59, Lincoln, NE 68505 | 2007-02-15 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| Find all providers in zip 68505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598077406 | Garrett Marc Sessions | Podiatrist | 685 Twelve Bridges Dr Ste C, Lincoln, CA 95648-8689 | 2010-07-08 |
| 1194884387 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2006-12-06 |
| 1821091638 | Teresa K Burnap | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2005-05-24 |
| 1053886184 | Penobscot Valley Foot and Ankle | Podiatrist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2018-10-04 |
| 1154786598 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2015-12-30 |
| 1679953392 | Lincoln Foot Clinic | Podiatrist | 600 N Cotner Blvd, Suite 116, Lincoln, NE 68505 | 2015-06-08 |
| 1487069100 | Matthew Williamson | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2014-06-23 |
| 1538457619 | Derek Miller | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2011-07-11 |
| 1912211657 | Kara L Krejci Reed | Podiatrist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2010-08-05 |
| 1235461294 | Joshua Morton Vest | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2010-02-02 |
| Find all providers in LINCOLN | ||||
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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.