DR. MARCUS W. BALTERS (NPI# 1205940186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205940186 |
| Entity Type | Individual |
| Full Name | DR. MARCUS W. BALTERS |
| Credential | M.D. |
| Practice Address |
601 N 30th St # 3700 Omaha NE 68131-2137 |
| Mailing Address |
2500 California Plz Omaha NE 68178 |
| Practice Telephone | 4022804139 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
22552 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
601 N 30TH ST # 3700 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609205228 | Heather R Templin | Nurse Practitioner | 601 N 30th St # 3700, Omaha, NE 68131-2137 | 2013-11-04 |
| 1245525989 | Stephen J Serio | Surgery | 601 N 30th St # 3700, Omaha, NE 68131-2128 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346479706 | Anjan Talukdar | Surgery | 515 N 162nd Ave Ste 300, Omaha, NE 68118-2540 | 2009-07-07 |
| 1235325614 | Tammy Kauzlarich Ramos | Surgery | 1301 South 75th Street, Suite 230, Omaha, NE 68124 | 2007-09-19 |
| 1336254143 | Richard J. Feldhaus | Surgery | 7710 Mercy Rd Ste 420, Omaha, NE 68124-2346 | 2006-08-20 |
| 1922020999 | Heartland Vein and Vascular Institute, P.C. | Surgery | 12702 Westport Pkwy, #101, Omaha, NE 68138-4012 | 2006-07-25 |
| 1215911813 | Scott P. Wattenhofer | Surgery | 515 N 162nd Ave, Suite 300, Omaha, NE 68118-2539 | 2005-12-06 |
| 1568816965 | Serenagroup Professional Services, P.C. | Surgery | 7710 Mercy Rd, Medical Building One Suite 130, Omaha, NE 68124-2372 | 2016-04-21 |
| 1558742486 | Jason Rhede Cook | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-16 |
| 1831329689 | Jonathan Robert Thompson | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2009-07-14 |
| 1952554214 | Jason Neal Mactaggart | Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-10-30 |
| 1508042151 | Dennis F Hayes Md PC | Surgery | 7710 Mercy Rd, Suite 404, Omaha, NE 68124-2372 | 2008-01-14 |
| 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.