GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC (NPI# 1386889442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386889442 |
Entity Type | Organization |
Organization Name | GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC |
Other Organization Name | GIKK ORTHO SPECIALISTS |
Practice Address |
17030 Lakeside Hills Plz Suite 200 Omaha NE 68130-2396 |
Practice Telephone | 4023998550 |
Practice Fax Number | 4023998455 |
Mailing Telephone | 4023998550 |
Mailing Fax Number | 4023998455 |
Enumeration Date | 2008-12-03 |
Last Update Date | 2016-05-03 |
Authorized Official Name | DR. TIMOTHY C FITZGIBBONS (PRESIDENT) |
Authorized Official Telephone | 4023998550 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | GROSS, IWERSEN, KRATOCHVIL & KLEIN PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NE | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025800600 | 05 |
Other Name | Type Code |
---|---|
GIKK Ortho Specialists | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396116539 | Gross, Iwersen, Kratochvil & Klein Md PC | Orthopaedic Surgery | 2510 Bellevue Medical Center Dr, Suite 145, Bellevue, NE 68123-1556 | 2015-10-14 |
1891165601 | Gross, Iwersen, Kratochvil & Klein Md PC | Orthopaedic Surgery | 3301 E Elkhorn Dr, Fremont, NE 68025-6239 | 2015-10-06 |
1144277328 | Gross, Iwersen, Kratochvil & Klein Md PC | Durable Medical Equipment & Medical Supplies | 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372 | 2006-05-31 |
Street Address |
17030 LAKESIDE HILLS PLZ SUITE 200 |
City | OMAHA |
State | NE |
Zip Code | 68130-2396 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205834173 | Mendy Marie Peterson | Physician Assistant | 17030 Lakeside Hills Plz, Suite 102, Omaha, NE 68130-2396 | 2005-07-13 |
1710426549 | Jessica Cannon | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2017-02-13 |
1881132256 | Kakish Md Senior Care, PC | Hospitalist | 17030 Lakeside Hills Plz, Suite 130, Omaha, NE 68130-2396 | 2017-02-06 |
1205373776 | Hayley Christensen | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130 | 2017-01-23 |
1114460904 | Ellen A Thomsen | Dietitian, Registered | 17030 Lakeside Hills Plz, Omaha, NE 68130-2396 | 2016-11-28 |
1811238728 | Sarah P Hennings | Physician Assistant | 17030 Lakeside Hills Plz, Ste 202, Omaha, NE 68130-2396 | 2013-03-04 |
1245472786 | Jaime L Dobson | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2009-03-30 |
1699917492 | Nicholas Wegner | Orthopaedic Surgery | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2009-03-25 |
1619116183 | Infectious Disease & Epidemiology Associates PC | Internal Medicine | 17030 Lakeside Hills Plz, Suite 202, Omaha, NE 68130-2396 | 2009-02-06 |
1720231103 | Bradley William Steffens | Emergency Medicine | 17030 Lakeside Hills Plz, Omaha, NE 68130-2396 | 2008-10-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
Find all providers in zip 68130 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356968465 | Madison County Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5420 F St, Omaha, NE 68117-2815 | 2020-07-06 |
1972120004 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 6700 Mercy Rd Ste 109, Omaha, NE 68106-2613 | 2020-07-06 |
1487129425 | Sakrx, LLC | Durable Medical Equipment & Medical Supplies | 2915 Leavenworth St, Omaha, NE 68105-2739 | 2018-10-05 |
1982187654 | Us Pharmacy | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 144, Omaha, NE 68114-3417 | 2018-09-10 |
1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
1265964886 | Personal Hme LLC | Durable Medical Equipment & Medical Supplies | 5346 S 136th St, 390081, Omaha, NE 68137-3001 | 2017-04-02 |
1306209127 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4001 Leavenworth St Ste 150a, Omaha, NE 68105-1026 | 2016-03-30 |
1194108688 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5115 S 111th St, Omaha, NE 68137-2341 | 2015-07-02 |
1982097804 | Miller Orthopaedic Affiliates PC | Durable Medical Equipment & Medical Supplies | 16221 Evans Plz, Omaha, NE 68116-6444 | 2015-03-17 |
1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
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.