FOUNTAIN FOOT CLINIC PC (NPI# 1578765087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578765087 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN FOOT CLINIC PC |
| Practice Address |
5835 Vine St Lincoln NE 68505-2847 |
| Mailing Address |
5835 Vine St Po Box 5505 Lincoln NE 68505-2847 |
| Practice Telephone | 4024665677 |
| Mailing Telephone | 4024665677 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALE MEIER FOUNTAIN (OWNER) |
| Authorized Official Telephone | 4024665677 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 218 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 505963785 | 05 | |
| NE | RR MC | 480013496 | 01 |
| Street Address |
5835 VINE ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68505-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427069442 | Dale Meier Fountain | Podiatrist | 5835 Vine St, Lincoln, NE 68505-2847 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1841544087 | Lance Tyler Otto | Chiropractor | 8222 Holdrege St., Lincoln, NE 68505 | 2012-11-08 |
| 1750685186 | George Randy Jeffrey | Physical Therapist | 770 N Cotner, # 125, Lincoln, NE 68505 | 2010-12-28 |
| 1194970327 | Rebecca G Guittar | Dietitian, Registered | 1601 N. 84th St., Hy-vee, Inc, Lincoln, NE 68505 | 2008-12-02 |
| 1649470659 | Linc Care, A Joint Venture | Durable Medical Equipment & Medical Supplies | 1601 North 86th Street, Suite 200, Lincoln, NE 68505 | 2007-07-19 |
| 1235354820 | Professional Eyecare Gateway Inc. | Optometrist | 6100 O St #59, Lincoln, NE 68505 | 2007-04-17 |
| 1548391774 | Stanley Leonard Schulte | Chiropractor | 1777 N. 86th St, Ste 102, Lincoln, NE 68505 | 2007-03-08 |
| 1396871224 | Allison Joanne Vyhnalek | Licensed Practical Nurse | 630 N Cotner, Suite 204, Lincoln, NE 68505 | 2007-02-26 |
| 1053454124 | William Jeffrey Geisert | Optometrist | 6100 O St, Bldg #59, Lincoln, NE 68505 | 2007-02-15 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| Find all providers in zip 68505 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023203874 | Richard M. Evans, D.p.m., P.C. | Podiatrist | 3401 O St, Lincoln, NE 68510-1541 | 2007-09-13 |
| 1710076906 | Torrey Brett Rassfeld | Podiatrist | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2006-10-12 |
| 1508978693 | Brock Randall Angelos | Podiatrist | 4213 O St, Lincoln, NE 68510-1751 | 2006-08-31 |
| 1427069442 | Dale Meier Fountain | Podiatrist | 5835 Vine St, Lincoln, NE 68505-2847 | 2006-08-11 |
| 1093726150 | Richard Marcus Evans | Podiatrist | 3401 O Street, Lincoln, NE 68510-1541 | 2006-08-11 |
| 1326068396 | Paula F. Angelini | Podiatrist | 14 Old Winter St, Lincoln, MA 01773 | 2006-07-20 |
| 1013934074 | Wayne V Videtich | Podiatrist | 2710 South St, Lincoln, NE 68502-3252 | 2006-07-16 |
| 1972563559 | Lynn Marie Dennis | Podiatrist | 604 N Union St Ste 2, Lincoln, IL 62656-1578 | 2006-03-27 |
| 1093791816 | Brian Patrick Keller | Podiatrist | 841 Sterling Pkwy, Ste 130, Lincoln, CA 95648-7324 | 2005-12-22 |
| 1629207261 | Jeffrey C Wienke Jr. | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2009-07-03 |
| Find all providers in LINCOLN | ||||
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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.