WAYNE V VIDETICH DPM PC (NPI# 1922268234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922268234 |
| Entity Type | Organization |
| Organization Name | WAYNE V VIDETICH DPM PC |
| Practice Address |
2710 South St Lincoln NE 68502-3252 |
| Practice Telephone | 4024773200 |
| Practice Fax Number | 4024773561 |
| Mailing Telephone | 4024773200 |
| Mailing Fax Number | 4024773561 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DR. WAYNE V VIDETICH (PRESIDENT) |
| Authorized Official Telephone | 4024773200 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
NE134 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | COVENTRY | 88434 | 01 |
| NE | MUTUAL OF OMAHA | NE134 | 01 |
| NE | BLUE CROSS/BLUE SHIELD | 2545 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215105481 | Wayne V Videtich Dpm PC | Prosthetic/Orthotic Supplier | 2710 South St, Lincoln, NE 68502-3252 | 2008-02-11 |
| Street Address |
2710 SOUTH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013934074 | Wayne V Videtich | Podiatrist | 2710 South St, Lincoln, NE 68502-3252 | 2006-07-16 |
| 1215105481 | Wayne V Videtich Dpm PC | Prosthetic/Orthotic Supplier | 2710 South St, Lincoln, NE 68502-3252 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713559 | Rassfeld Foot and Ankle PC | Clinic/Center | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2019-01-10 |
| 1639357148 | Charles M Cavicchio, Dpm | Clinic/Center | 2 Wake Robin Rd, Suite 203, Lincoln, RI 02865-4241 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739773 | Midplains Podiatry | Clinic/Center | 3346 N 108th St, Omaha, NE 68164-2905 | 2008-08-11 |
| 1134270416 | Advanced Foot & Ankle PC | Clinic/Center | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2007-01-15 |
| 1497083422 | Midwest Foot & Ankle, P.C. | Clinic/Center | 7643 Cass St, Omaha, NE 68114-3623 | 2009-12-02 |
Please comment or provide details below to improve the information on WAYNE V VIDETICH DPM 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.