JON R GOLDSMITH (NPI# 1548225816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548225816 |
| Entity Type | Individual |
| Full Name | JON R GOLDSMITH |
| Credential | DPM |
| Practice Address |
6829 N 72nd St Suite 7500 Omaha NE 68122-1723 |
| Mailing Address |
7261 Mercy Rd Attn: Credentialing Omaha NE 68124-2311 |
| Practice Telephone | 4029338540 |
| Practice Fax Number | 4029338578 |
| Mailing Telephone | 4023986255 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
304 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026225000 | 05 |
| Street Address |
6829 N 72ND ST SUITE 7500 |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803213 | Jessica Mack Demarco | Clinical Neuropsychologist | 6829 N 72nd St, Suite 4700, Omaha, NE 68122-1723 | 2012-05-25 |
| 1144541335 | William C Dorwart | Family Medicine | 6829 N 72nd St, Suite 3100, Omaha, NE 68122-1723 | 2010-06-22 |
| 1356593594 | Michael A. Hovey Md PC | Surgery | 6829 N 72nd St, #5500, Omaha, NE 68122-1723 | 2008-10-21 |
| 1639349590 | Samuel Dubrow | Orthopaedic Surgery | 6829 N 72nd St, Suite 7500, Omaha, NE 68122-1723 | 2008-03-06 |
| 1083807952 | Margaret M Beran | Obstetrics & Gynecology | 6829 N 72nd St, Suite 4500, Omaha, NE 68122-1723 | 2007-08-23 |
| 1225242597 | Sami Khalil Zeineddine | Obstetrics & Gynecology | 6829 N 72nd St, Suite 4500, Omaha, NE 68122-1723 | 2007-05-09 |
| 1710101233 | John Winters | Family Medicine | 6829 N 72nd St, Suite 6200, Omaha, NE 68122-1723 | 2007-04-13 |
| 1205050523 | Eric Michael Samuelson | Orthopaedic Surgery | 6829 N 72nd St, Suite 7500, Omaha, NE 68122-1723 | 2007-04-11 |
| 1609908078 | Adrienne Elizabeth Perfilio Edwards | Obstetrics & Gynecology | 6829 N 72nd St, Suite 4500, Omaha, NE 68122-1723 | 2007-03-12 |
| 1346390341 | Bodo Treu | Family Medicine | 6829 N 72nd St, Suite 3100, Omaha, NE 68122-1723 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417038365 | Eric Eugene Sluiter | Podiatrist | 7828 Wakeley Plz, Omaha, NE 68114-3650 | 2006-10-18 |
| 1740399765 | Eric C Palmquist | Podiatrist | 3821 N 167th Ct, Suite 115, Omaha, NE 68116-8070 | 2006-08-30 |
| 1093789554 | Nicholas G. Olari | Podiatrist | 9006 Ohio St Ste 1, Omaha, NE 68134-6139 | 2006-02-13 |
| 1275504482 | Michael Drews | Podiatrist | 12115 Pacific St, Omaha, NE 68154-3527 | 2006-01-27 |
| 1316934946 | Robert J Hilkemann | Podiatrist | 7337 Dodge St, Omaha, NE 68114-3613 | 2005-09-29 |
| 1366448649 | Scott C Nelson | Podiatrist | 16909 Lakeside Hills Ct, Ste 208, Omaha, NE 68130-4664 | 2005-06-22 |
| 1558882316 | Andrea Drieling | Podiatrist | 3346 N 108th St, Omaha, NE 68164-2905 | 2017-07-02 |
| 1588012397 | Alegent Creighton Clinic | Podiatrist | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2016-06-02 |
| 1558766238 | Momentum Foot and Ankle Wellness Center, PC | Podiatrist | 3821 N 167th Ct, Suite 115, Omaha, NE 68116-8070 | 2014-10-24 |
| 1114343449 | Nebraska Lower Extremity Surgery Group, LLC | Podiatrist | 1301 N 72nd St, Omaha, NE 68114-1903 | 2014-03-11 |
| 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.