LAKESIDE ORTHOPEDICS PC (NPI# 1417149741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417149741 |
| Entity Type | Organization |
| Organization Name | LAKESIDE ORTHOPEDICS PC |
| Practice Address |
16909 Lakeside Hills Ct Suite 208 Omaha NE 68130-4664 |
| Practice Telephone | 4027585690 |
| Practice Fax Number | 4027585699 |
| Mailing Telephone | 4027585690 |
| Mailing Fax Number | 4027585699 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MRS. NANCY J MICKELSON (OFFICE MANAGER) |
| Authorized Official Telephone | 4027585690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025437200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508058835 | Lakeside Orthopedics PC | Durable Medical Equipment & Medical Supplies | 1413 South Washinton, Suite 200, Papillion, NE 68046 | 2007-08-10 |
| 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 |
| 1043417710 | Scott C Nelson Dpm | Podiatrist | 16909 Lakeside Hills Ct, North Professional Center #208, Omaha, NE 68130-4664 | 2007-06-27 |
| 1740481670 | Aj Nixon | Family Medicine | 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 | 2007-05-29 |
| 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 | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355291 | Tenna Shu Palace, LLC | Durable Medical Equipment & Medical Supplies | 1822 N 33rd St, Omaha, NE 68111-4108 | 2019-09-18 |
| 1730410895 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 5950 S 118th Cir, Omaha, NE 68137-4426 | 2010-01-28 |
| 1477725869 | Comfort Plus Shoe Center, Inc. | Durable Medical Equipment & Medical Supplies | 535 N 155th Plz, Omaha, NE 68154-3775 | 2008-03-26 |
| 1003982307 | Keystone Wholesale Co | Durable Medical Equipment & Medical Supplies | 7328 Maple Street, Omaha, NE 68134-6829 | 2006-11-28 |
| 1114984929 | Dewall Enterprises Inc | Durable Medical Equipment & Medical Supplies | 4506 Leavenworth St, Omaha, NE 68106-1419 | 2006-04-26 |
| 1033189840 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 8710 F St Ste 132, Omaha, NE 68127-1532 | 2006-01-24 |
| 1477819563 | Steven D. Wegner, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 11840 Nicholas St, Suite 210, Omaha, NE 68154-4475 | 2012-04-03 |
| 1306852884 | Eyeoptics LLC | Durable Medical Equipment & Medical Supplies | 8141 W Center Rd, Suite 101, Omaha, NE 68124-3273 | 2006-08-01 |
| 1376568444 | Paul J. Lennemann | Durable Medical Equipment & Medical Supplies | 1941 S 42nd St, Suite 121, Omaha, NE 68105-2939 | 2006-07-12 |
| 1326013749 | Rydale Medical, Inc. | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Plz, Suite 108, Omaha, NE 68130-4654 | 2006-02-20 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on LAKESIDE ORTHOPEDICS PC.
| 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.