TRISTAN LAYTON HARTZELL (NPI# 1184797110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184797110 |
| Entity Type | Individual |
| Full Name | TRISTAN LAYTON HARTZELL |
| Credential | M.D. |
| Practice Address |
301 N 27th St Suite 2 Norfolk NE 68701-4401 |
| Practice Telephone | 4028448291 |
| Practice Fax Number | 4028448292 |
| Mailing Telephone | 4028448291 |
| Mailing Fax Number | 4028448292 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
26210 | NE | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
26210 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE | 099588036 | 01 |
| NE | BCBS | 20079 | 01 |
| NE | 10025561800 | 05 |
| Street Address |
301 N 27TH ST SUITE 2 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114931938 | Thomas M Beutler | Surgery | 301 N 27th St, Suite 1, Norfolk, NE 68701-4457 | 2006-07-28 |
| 1184093247 | Kathy Kreikemeier | Physician Assistant | 301 N 27th St, Suite 16, Norfolk, NE 68701-4401 | 2015-09-18 |
| 1245678812 | Rachel Ann Prinz | Physician Assistant | 301 N 27th St, Suite 1, Norfolk, NE 68701-4401 | 2013-06-05 |
| 1689019390 | Natalie Joan Saba | Audiologist | 301 N 27th St, Suite 4, Norfolk, NE 68701-4401 | 2013-05-08 |
| 1962768325 | Zackary Bryan Gangwer | Podiatrist | 301 N 27th St, Ste 5, Norfolk, NE 68701-4401 | 2012-04-10 |
| 1083987804 | Amy L Jorgensen | Radiologic Technologist | 301 N 27th St, Ste 2, Norfolk, NE 68701-4401 | 2012-02-10 |
| 1598045866 | Lewis & Clark Urology, Ltd. | Urology | 301 N 27th St, Ste10, Norfolk, NE 68701-4401 | 2011-08-18 |
| 1629366232 | Jason Raymond Bailey | Podiatrist | 301 N 27th St, Suite 5, Norfolk, NE 68701-4401 | 2011-07-17 |
| 1093032377 | Joseph Paul Dangberg | Family Medicine | 301 N 27th St, Ste 1, Norfolk, NE 68701-4457 | 2010-04-27 |
| 1891924809 | Kinzie Adele Norris | Surgery | 301 N 27th St, Suite 11, Norfolk, NE 68701-4401 | 2009-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114017803 | Norfolk Hand Surgery Center In | Orthopaedic Surgery | 6160 Kempsville Cir, 102a, Norfolk, VA 23502-3933 | 2006-10-13 |
| 1053375238 | Christopher Karrer Hersh | Orthopaedic Surgery | 6160 Kempsville Cir, Suite 102a, Norfolk, VA 23502-3933 | 2006-04-14 |
| 1366406316 | Frank Winston Gwathmey | Orthopaedic Surgery | 6160 Kempsville Circle, Suite 102a, Norfolk, VA 23502 | 2006-04-14 |
| 1316925167 | Lance Davlin | Orthopaedic Surgery | 6275 E Virginia Beach Blvd, Suite 300, Norfolk, VA 23502-2851 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952492845 | Dolf R Ichtertz | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2006-09-27 |
| 1013946318 | Robert M Cochran | Orthopaedic Surgery | 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154-4428 | 2006-07-01 |
| 1912544628 | Ntm Consulting PC | Orthopaedic Surgery | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2019-12-02 |
| 1366739625 | Gangadasu Reddy | Orthopaedic Surgery | 601 N 30th St, Omaha, NE 68131-2128 | 2011-07-06 |
| 1508197435 | Nebraska Hand & Shoulder Institute, P.C. | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2010-01-15 |
| 1912916594 | Daniel B Cullan II | Orthopaedic Surgery | 575 S 70th St Ste 200, Lincoln Ne 68510, Lincoln, NE 68510-2471 | 2006-08-05 |
| 1316971781 | David Clough | Orthopaedic Surgery | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2006-07-10 |
| 1245280361 | Nils A Nystrom | Orthopaedic Surgery | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2006-05-11 |
| 1992770614 | Richard Phillip Murphy | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-17 |
| 1164497806 | Jason John Mickels | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-17 |
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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.