Organization Active NPI

Midplains Podiatry

  • Podiatric Clinic/Center
  • Omaha, NE
National Provider Identifier
1770739773
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
280 Issued in NE
Legal business name
MIDPLAINS PODIATRY
Practice address
3346 N 108TH St
Omaha, NE 68164-2905
Phone
(402) 315-4344
Fax
(402) 315-4343
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Elizabeth Marie Klawitter, DPMNPI 1043390578
Title
Podiatrist/Owner
Phone
(402) 315-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 280 NE Primary

Addresses

Primary practice location

3346 N 108TH St
Omaha, NE 68164-2905

Mailing address

11071 W Maple Rd
Omaha, NE 68164-2604
Phone (402) 315-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081028000523 NE Part B Supplier - Clinic/Group Practice 9830257328 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20100930019012 NE DME Supplier - Physician - General Practice 9830257328 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

10371 Ellison Cir
Omaha, NE 68134
Phone (402) 315-4344

2821 S 87th Ave
Omaha, NE 68124
Phone (402) 315-4344

11071 W Maple Rd
Omaha, NE 68164
Phone (402) 315-4344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1770739773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11071 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642604",
            "telephone_number": "402-315-4344",
            "fax_number": "402-315-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 N 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642905",
            "telephone_number": "402-315-4344",
            "fax_number": "402-315-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDPLAINS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "KLAWITTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "402-315-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NE",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 2019; 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.