DAVID CLOUGH (NPI# 1316971781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316971781 |
| Entity Type | Individual |
| Full Name | DAVID CLOUGH |
| Credential | MD |
| Practice Address |
16909 Lakeside Hills Ct Suite 208 Omaha NE 68130-4664 |
| Practice Telephone | 4027170820 |
| Practice Fax Number | 4027170830 |
| Mailing Telephone | 4027170820 |
| Mailing Fax Number | 4027170830 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
17646 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | P00374040 | 01 |
| IA | 2929836 | 05 | |
| NE | BCBS OF NEBRASKA | 02638 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902145113 | David Arthur Clough | Psychologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2013-02-07 |
| 1457662512 | David L Clough | Physical Therapist | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2010-06-23 |
| Street Address |
16909 LAKESIDE HILLS CT SUITE 208 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448649 | Scott C Nelson | Podiatrist | 16909 Lakeside Hills Ct, Ste 208, Omaha, NE 68130-4664 | 2005-06-22 |
| 1114467727 | Ashley Ryan Schwartz | Physician Assistant | 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 | 2017-03-01 |
| 1588012397 | Alegent Creighton Clinic | Podiatrist | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2016-06-02 |
| 1083074751 | Leah B Ridder | Nurse Practitioner | 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 | 2016-02-24 |
| 1972907822 | Kathryn Graeve | Nurse Practitioner | 16909 Lakeside Hills Ct, Suite 400, Omaha, NE 68130-4664 | 2014-10-21 |
| 1952649162 | Samantha J. Korth | Physician Assistant | 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 | 2013-01-22 |
| 1801150511 | Anthony Robert Mann | Physician Assistant | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2012-06-27 |
| 1174842298 | Margaret Wollschlager Ingemansen | Family Medicine | 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 | 2010-05-28 |
| 1417149741 | Lakeside Orthopedics PC | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2007-08-10 |
| 1043417710 | Scott C Nelson Dpm | Podiatrist | 16909 Lakeside Hills Ct, North Professional Center #208, Omaha, NE 68130-4664 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| 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 |
|---|---|---|---|---|
| 1013946318 | Robert M Cochran | Orthopaedic Surgery | 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154-4428 | 2006-07-01 |
| 1366739625 | Gangadasu Reddy | Orthopaedic Surgery | 601 N 30th St, Omaha, NE 68131-2128 | 2011-07-06 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952492845 | Dolf R Ichtertz | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2006-09-27 |
| 1912544628 | Ntm Consulting PC | Orthopaedic Surgery | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2019-12-02 |
| 1508197435 | Nebraska Hand & Shoulder Institute, P.C. | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2010-01-15 |
| 1184797110 | Tristan Layton Hartzell | Orthopaedic Surgery | 301 N 27th St, Suite 2, Norfolk, NE 68701-4401 | 2006-11-16 |
| 1912916594 | Daniel B Cullan II | Orthopaedic Surgery | 575 S 70th St Ste 200, Lincoln Ne 68510, Lincoln, NE 68510-2471 | 2006-08-05 |
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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.