Roy H Lidtke (NPI# 1386641165, PAC ID# 2163456914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1386641165 |
PAC ID by PECOS | 2163456914 |
Professional Enrollment ID | I20070404000635 |
Full Name | Roy H Lidtke |
Address |
36 W Park Ln Waterloo IA 50701-5178 |
Gender | M |
Credential | DPM |
Graduation Year | 1991 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
160045 | ST LUKES HOSPITAL |
Address | Phone | Organization |
---|---|---|
1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 3193697211 | ST LUKES METHODIST HOSPITAL |
1026 A Ave Ne, 5000 St Lukes Hospital, Cedar Rapids, IA 52402-5036 | 3193685757 | ST LUKES METHODIST HOSPITAL |
225 12th St Ne, Cedar Rapids, IA 52402-5077 | 3193698764 | ST LUKES METHODIST HOSPITAL |
36 W Park Ln, Waterloo, IA 50701-5178 |
Street Address |
36 W PARK LN |
City | WATERLOO |
State | IA |
Zip | 50701-5178 |
Name | Specialty | Organization | Address |
---|---|---|---|
Morgan C Schoof | Nurse Practitioner | United Community Services Inc | 3362 University Ave, Waterloo, IA 50701-2006 |
Samarah Lisw Greeves | Clinical Social Worker | 3261 University Ave, Waterloo, IA 50701-2051 | |
Leslie R Frost | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Michael Donnelly | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Rodney V Kobliska | Chiropractic | 2000 Falls Ave, Suite 1, Waterloo, IA 50701-2302 | |
Zachary P Wilson | Chiropractic | 751 Progress Ave, Waterloo, IA 50701-3108 | |
Bradley J Knox | Optometry | 1030 Alabar Ave, Waterloo, IA 50701-3200 | |
Jason Kirk Eller | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Adam Lee Hoogestraat | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Kaila Egan | Optometry | 918 Decathlon Dr, Waterloo, IA 50701-3441 | |
Find all physicians in zip 50701 |
City | WATERLOO |
Zip Code | 50701 |
Specialty | PODIATRY |
City + Specialty | WATERLOO + PODIATRY |
Please comment or provide details below to improve the information on Roy H Lidtke.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.