Active NPI
Gross, Iwersen, Kratochvil & Klein MD PC
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1386889442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC
- Practice address
- 17030 Lakeside Hills PLZ
Suite 200
Omaha, NE 68130-2396 - Phone
- (402) 399-8550
- Fax
- (402) 399-8455
- NPI assigned
- Dec 3, 2008
- Organization subpart
- Yes
- Parent organization
- GROSS, IWERSEN, KRATOCHVIL & KLEIN PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy C Fitzgibbons, MD
- Title
- President
- Phone
- (402) 399-8550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NE | Primary |
Addresses
Primary practice location
17030 Lakeside Hills PLZ
Suite 200
Omaha, NE 68130-2396
Mailing address
17030 Lakeside Hills PLZ
Suite 200
Omaha, NE 68130-2396
Phone (402) 399-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025800600 | Medicaid | NE |
Other names 1
- GIKK Ortho Specialists
National Provider Directory
National Provider Directory- Part of
- R M Gross DME
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462233600000",
"number": "1386889442",
"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": "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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GROSS, IWERSEN, KRATOCHVIL & KLEIN PC",
"enumeration_date": "2008-12-03",
"last_updated": "2016-05-03",
"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_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025800600",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GIKK Ortho Specialists",
"code": "5",
"type": "Other Name"
}
]
}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 3, 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.