Individual provider Active NPI

Eric C Palmquist, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1740399765
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
342 Issued in NE
Practice address
3821 N 167TH CT
Suite 115
Omaha, NE 68116-8070
Phone
(402) 315-4406
Fax
(402) 885-6991
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005313 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 00799 IA
Foot & Ankle Surgery Podiatrist 213ES0103X 342 NE Primary

Addresses

Primary practice location

3821 N 167TH CT
Suite 115
Omaha, NE 68116-8070

Mailing address

3821 N 167TH CT
Suite 115
Omaha, NE 68116-8070
Phone (402) 315-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120001488 NE Practitioner - Podiatry 4284630187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 N 167TH CT
Suite 115
Omaha, NE 68116-8071
Phone (402) 315-4406

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue366
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00799IAMDSocial Worker
016005313ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Foot and Ankle Wellness Center, PC Foot & Ankle Surgery CurrentSince Dec 26, 2014 Accepting new patients
Edward N Prikaszczikow Past Accepting new patients
Council Bluffs Foot & Ankle Care PC Foot & Ankle Surgery PastSince Jan 1, 2010 Accepting new patients

Locations

3821 N 167th Ct
Ste 115
Omaha, NE 68116
Phone (402) 315-4406

Interoperability endpoints

  • Direct secure messaging: eric.palmquist.1@9772.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1740399765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 N 167TH CT",
            "address_2": "SUITE 115",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168070",
            "telephone_number": "402-315-4406",
            "fax_number": "402-885-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 N 167TH CT",
            "address_2": "SUITE 115",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168070",
            "telephone_number": "402-315-4406",
            "fax_number": "402-885-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMQUIST",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005313",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00799",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.