DR. NATHAN THOMAS PENNEY (NPI# 1831330323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831330323 |
Entity Type | Individual |
Full Name | DR. NATHAN THOMAS PENNEY |
Credential | D.P.M. |
Practice Address |
11071 W Maple Rd Omaha NE 68164-2604 |
Practice Telephone | 4023154344 |
Practice Fax Number | 4023154343 |
Mailing Telephone | 4023154344 |
Mailing Fax Number | 4023154343 |
Enumeration Date | 2009-03-13 |
Last Update Date | 2017-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
364 | NE | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3391 | FL | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003511 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10026641100 | 05 |
Street Address |
11071 W MAPLE RD |
City | OMAHA |
State | NE |
Zip Code | 68164-2604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043390578 | Elizabeth Marie Klawitter | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2006-10-17 |
1700486420 | Michelle Antionette Brown | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-10-30 |
1194338848 | Amber J Gillmore | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-08-24 |
1760091102 | Kari Lynn Spangler | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2020-07-30 |
1790292241 | Rachel Marie Swanson | Counselor | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2018-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
Find all providers in zip 68164 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417038365 | Eric Eugene Sluiter | Podiatrist | 7828 Wakeley Plz, Omaha, NE 68114-3650 | 2006-10-18 |
1740399765 | Eric C Palmquist | Podiatrist | 3821 N 167th Ct, Suite 115, Omaha, NE 68116-8070 | 2006-08-30 |
1548225816 | Jon R Goldsmith | Podiatrist | 6829 N 72nd St, Suite 7500, Omaha, NE 68122-1723 | 2006-04-19 |
1093789554 | Nicholas G. Olari | Podiatrist | 9006 Ohio St Ste 1, Omaha, NE 68134-6139 | 2006-02-13 |
1275504482 | Michael Drews | Podiatrist | 12115 Pacific St, Omaha, NE 68154-3527 | 2006-01-27 |
1316934946 | Robert J Hilkemann | Podiatrist | 7337 Dodge St, Omaha, NE 68114-3613 | 2005-09-29 |
1366448649 | Scott C Nelson | Podiatrist | 16909 Lakeside Hills Ct, Ste 208, Omaha, NE 68130-4664 | 2005-06-22 |
1558882316 | Andrea Drieling | Podiatrist | 3346 N 108th St, Omaha, NE 68164-2905 | 2017-07-02 |
1588012397 | Alegent Creighton Clinic | Podiatrist | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2016-06-02 |
1558766238 | Momentum Foot and Ankle Wellness Center, PC | Podiatrist | 3821 N 167th Ct, Suite 115, Omaha, NE 68116-8070 | 2014-10-24 |
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.