RYAN SUPON (NPI# 1467830083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467830083 |
| Entity Type | Individual |
| Full Name | RYAN SUPON |
| Credential | DPM |
| Practice Address |
2824 North 6th Ave Omaha NE 68104-3928 |
| Mailing Address |
Po Box 917 Northbrook IL 60065-0917 |
| Practice Telephone | 8475045000 |
| Practice Fax Number | 8475045015 |
| Mailing Telephone | 8475045000 |
| Mailing Fax Number | 8475045015 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 370 | NE | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2824 NORTH 6TH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68104-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859698 | Sbevington's Mental Health Therapy | Counselor | 5519northwest Radial Highway, 5519northwest Radial Highway Suite3, Omaha, NE 68104 | 2018-01-22 |
| 1679923049 | Kimberly Anne Mueller | Counselor | 6107 Maple Street, Suite B, Omaha, NE 68104 | 2016-06-16 |
| 1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
| 1437439668 | Sandra Bojanski | Occupational Therapy Assistant | 4809 Redman Ave., Omaha, NE 68104 | 2011-08-19 |
| 1821304825 | Benson Community Health Center | Clinic/Center | 5420 N.rth West Radial Highway, Omaha, NE 68104 | 2010-08-27 |
| 1861723736 | William Lee Wolaver | Occupational Therapy Assistant | 2414 N 60th St, Omaha, NE 68104 | 2010-01-16 |
| 1205057718 | David John Millea | Dentist | 2746 No 63rd St, Omaha, NE 68104 | 2007-05-01 |
| 1558410829 | Catherine Y Cook | Counselor | 3525 Evans Street, Omaha, NE 68104 | 2007-01-09 |
| 1629143052 | Paula Ann Moritz | Counselor | 3300 No 60th St, Omaha, NE 68104 | 2006-11-21 |
| 1366538597 | Marla Jo Kosse | Physical Therapy Assistant | 4101 Woolworth Avenue, Omaha, NE 68104 | 2006-10-05 |
| Find all providers in zip 68104 | ||||
| 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 |
| 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 |
| 1043390578 | Elizabeth Marie Klawitter | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 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.