DR. DOLF R ICHTERTZ M.D. NPI 1952492845

NPI Information

NPI: 1952492845
Provider Name: DR. DOLF R ICHTERTZ, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Specialization: Hand Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 716 N ALPHA ST
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 389-3312

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NPI Details

DR. Dolf R Ichtertz, M.D. is a hand surgery orthopaedic surgery in Grand Island, NE with 45 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Dolf R Ichtertz, M.D. NPI is 1952492845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

716 N ALPHA ST
GRAND ISLAND, NE
ZIP 68803-318
Phone: (308) 389-3312
Fax: (308) 389-3390

The NPI 1952492845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0106X	Orthopaedic Surgery	Hand Surgery	218344310	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07250	OTHER	NEBRASKA	BCBS PROVIDER ID
2	200036906	OTHER	NEBRASKA	RR MEDICARE PROVIDER ID
3	C99679	MEDICARE UPIN	NEBRASKA
4	47082696900	MEDICAID	NEBRASKA
5	270999	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA	MEDICARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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