PHILIP B SEXTRO (NPI# 1851394738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851394738 |
| Entity Type | Individual |
| Full Name | PHILIP B SEXTRO |
| Credential | DPM |
| Practice Address |
620 Diers Ave Grand Island NE 68802-5020 |
| Mailing Address |
620 Diers Ave Po Box 5020 Grand Island NE 68802-5020 |
| Practice Telephone | 3083810404 |
| Practice Fax Number | 3083810408 |
| Mailing Telephone | 3083810404 |
| Mailing Fax Number | 3083810408 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
213E00000X | NE | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | CHAMPUS | 470624949 | 01 |
| NE | MEDICARE | 280175 | 01 |
| NE | DMERC CIGNA | 0152470001 | 01 |
| NE | CIGNA | 0152470001 | 01 |
| NE | BLUE CROSS BLUE SHIELD | 02549 | 01 |
| NE | 47062497913 | 05 | |
| NE | RAILROAD MEDICARE | 480021804 | 01 |
| Street Address |
620 DIERS AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68802-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026312 | Abbie Kelley | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-13 |
| 1831205152 | Orthopaedic Surgicenter Inc | Clinic/Center | 810 Diers Avenue, Suite A, Grand Island, NE 68802 | 2006-08-21 |
| 1336187905 | Elizabeth Ann Heidt Kozisek | Psychologist | 1932 Aspen Circle, Suite J, Grand Island, NE 68802 | 2006-06-03 |
| 1932191301 | Jennifer Mcclure | Physical Therapist | West Faidley Medical Center, 620 N. Diers, Suite 300, Grand Island, NE 68802 | 2005-08-22 |
| 1396226668 | Dawn Lutz | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1104307461 | Kim Woitaszewski | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1154816049 | Jennifer Nowicki | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-25 |
| 1033603386 | Monti Starkey | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-20 |
| 1649764226 | Kellie Brittain | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-18 |
| 1518450469 | Delynn Karr | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-14 |
| Find all providers in zip 68802 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465300 | Kevin J Larsen | Podiatrist | 620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286974 | Elite Foot and Ankle Specialists | Podiatrist | 16312 Sheffield Cir, Bennington, NE 68007-1863 | 2013-11-20 |
| 1881887263 | Blayne H Mccaffrey | Podiatrist | 1105 S 13th St Ste 201, Norfolk, NE 68701-5767 | 2007-08-20 |
| 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 |
| 1821091638 | Teresa K Burnap | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68802 |
Please comment or provide details below to improve the information on PHILIP B SEXTRO.
| 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.