Active NPI
Gross, Iwersen, Kratochvil & Klein MD PC
Doing business as GIKK Ortho Specialists
- Orthopaedic Surgery Physician
- Omaha, NE
National Provider Identifier
1144277328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC
- Doing business as
- GIKK Ortho Specialists
- Practice address
- 7710 Mercy Rd
Suite 224
Omaha, NE 68124-2372 - Phone
- (402) 399-8550
- Fax
- (402) 399-8455
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy C Fitzgibbons, M.D.
- Title
- President
- Phone
- (402) 399-8550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NE |
Addresses
Primary practice location
7710 Mercy Rd
Suite 224
Omaha, NE 68124-2372
Mailing address
17030 Lakeside Hills PLZ
Suite 200
Omaha, NE 68130-2396
Phone (402) 399-8550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02981 | Other | NE | BCBS NE |
| 10026130603 | Medicaid | NE | |
| 10026130602 | Medicaid | NE |
Other names 1
- GIKK Ortho Specialists
National Provider Directory
National Provider DirectoryLocations
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
3301 E Elkhorn Dr
Fremont, NE 68025
Phone (402) 721-0090
8301 Dodge St
Childrens Hospital
Omaha, NE 68114
Phone (402) 390-5400
17030 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 399-8550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1144277328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17030 LAKESIDE HILLS PLZ",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302396",
"telephone_number": "402-399-8550",
"fax_number": "402-399-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 MERCY RD",
"address_2": "SUITE 224",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242372",
"telephone_number": "402-399-8550",
"fax_number": "402-399-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "FITZGIBBONS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-399-8550",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "02981",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026130603",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026130602",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GIKK Ortho Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.