Nebraska Hand & Shoulder Institute PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NEBRASKA HAND & SHOULDER INSTITUTE PC

Practice address

716 N Alpha St
Grand Island, NE 68803-4318

Phone

(308) 389-3312

Fax

(308) 389-3390

NPI assigned

Jan 15, 2010

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dolf R Ichtertz, M.D.NPI 1952492845

Title

Owner/President

Phone

(308) 389-3312

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dolf R Ichtertz, M.D.

  • Orthopaedic Hand Surgery Physician
  • Grand Island, NE
  • NPI 1952492845
  Medicare reassignment Authorized official
• Rita Coleen Stice, MD

  • Plastic and Reconstructive Surgery Physician
  • Omaha, NE
  • NPI 1871548511
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1508197435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N ALPHA ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034318",
            "telephone_number": "308-389-3312",
            "fax_number": "308-389-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N ALPHA ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034318",
            "telephone_number": "308-389-3312",
            "fax_number": "308-389-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA HAND & SHOULDER INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "ICHTERTZ",
        "authorized_official_first_name": "DOLF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "308-389-3312",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nebraska Dental Care LLC
• Nebraska Orthotic & Prosthetic
• Lucy Negrete, LPN
• Hannah Grace Neisner, CNA
• Allison Nelms
• Brooke Nelson

• Orthopaedic Surgery Physician in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Orthopaedic Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.