TODD LUEDEKE


Address: 1200 Providence Rd, Wayne, NE 68787-1212
Phone: 4023753800

TODD LUEDEKE (NPI# 1700832839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700832839
Entity Type Individual
Full Name TODD LUEDEKE
Credential CRNA
Practice Address 1200 Providence Rd
Wayne
NE 68787-1212
Mailing Address 204 Fairway
Wayne
NE 68787-7112
Practice Telephone 4023753800
Practice Fax Number 4028335409
Mailing Telephone 4024999977
Mailing Fax Number 4028335409
Enumeration Date 2006-05-26
Last Update Date 2007-08-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 100571 CRNA 5065 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 PROVIDENCE RD
City WAYNE
State NE
Zip Code 68787-1212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700404811 Catherine Andela-ruth Nurse Practitioner 1200 Providence Rd, Wayne, NE 68787-1212 2020-07-06
1962032292 Bonnie Lane Vrbicky Physician Assistant 1200 Providence Rd, Wayne, NE 68787-1212 2020-01-26
1497308662 Midtown Health Center, Inc. Clinic/Center 1200 Providence Rd, Wayne, NE 68787-1212 2019-07-17
1326504267 Kathy I Mohlfeld Counselor 1200 Providence Rd, Wayne, NE 68787-1299 2019-02-15
1114388303 Timothy Ellis Specialist/Technologist 1200 Providence Rd, Wayne, NE 68787-1212 2016-03-15
1588022503 John Miller Physical Therapist 1200 Providence Rd, Wayne, NE 68787-1212 2016-02-04
1598134751 Morgan Ebberson Occupational Therapist 1200 Providence Rd, Wayne, NE 68787-1212 2015-09-17
1477922631 Britni Nordhues Occupational Therapist 1200 Providence Rd, Wayne, NE 68787-1212 2015-09-17
1083977474 Amy Joan Bowers Physical Therapist 1200 Providence Rd, Wayne, NE 68787 2012-06-20
1205195831 Michelle Theis Occupational Therapist 1200 Providence Rd, Wayne, NE 68787 2012-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396209623 Pearl Street Counseling, LLC Counselor 421 N Pearl Street, Wayne, NE 68787 2019-01-31
1760883367 Northeast Nebraska Public Health Department Public Health or Welfare 215 Pearl Street, Wayne, NE 68787 2014-09-15
1942419353 Muffin Elaine Morris Specialist/Technologist 11 11 Main Street, Wayne State College, Wayne, NE 68787 2007-05-22
1801952601 Craig W Braun Dentist 206 E 7th St, Wayne, NE 68787 2006-12-28
1124120464 Robert Kevin Krugman Chiropractor 214 Pearl Street, Wayne, NE 68787 2006-09-05
1659722908 Michele Albers Physical Therapist 1200 Providence Road, Wayne, NE 68787 2016-06-28
1730599762 Angela Mclaughlin Family Medicine 615 E 14th St, Wayne, NE 68787 2014-04-29
1649568775 Grace Counseling Services Community/Behavioral Health 111 Main Street, Wayne, NE 68787 2011-07-11
1780975144 Magnuson Hopkins Eyecare PC Optometrist 1112 W 7th St, Wayne, NE 68787 2011-04-20
1497925556 Peterson Therapy Services LLC Physical Therapist 208 N. Main St., Wayne, NE 68787 2008-03-05
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164843850 Julia Krivoy Nurse Anesthetist, Certified Registered 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 2013-12-23
1821394065 Jean P. Vieira Nurse Anesthetist, Certified Registered 30 Fairpark Pl, Wayne, NJ 07470-7321 2011-02-07
1881866028 Tracy Lynn Tomlinson-bathgate Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2008-03-27
1558490722 Linda J Riggs Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2007-03-05
1073690780 Estrellita G Lumbo Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
1144307869 Michelle D Murphy Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
1649357443 Maria Elena Johnston Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
1063599876 Carmen G Kislov Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
1326125121 Linda C Gottron Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
1215014931 Valerie Maci Nurse Anesthetist, Certified Registered 33155 Annapolis St, Wayne, MI 48184-2405 2006-11-01
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City WAYNE
Zip Code 68787

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Dataset Information

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.

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