EUGENE A. WALTKE M.D. NPI 1972588119

NPI Information

NPI: 1972588119
Provider Name: EUGENE A. WALTKE, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
515 N 162ND AVE
SUITE 300
OMAHA, NE
ZIP 68118
Phone: (402) 393-6624
Get Directions

Eugene A. Waltke, M.D. is a vascular surgery surgery in Omaha, NE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Eugene A. Waltke, M.D. NPI is 1972588119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

515 N 162ND AVE
SUITE 300
OMAHA, NE
ZIP 68118-539
Phone: (402) 393-6624
Fax: (402) 393-6635

The enumeration date for this NPI number is 12/9/2005 and was last updated on 8/6/2014.

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	2086S0129X	Surgery	Vascular Surgery	26981	IOWA	No
2	2086S0129X	Surgery	Vascular Surgery	14622	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
1	10025724800	MEDICAID	NEBRASKA
2	B68042	MEDICARE UPIN	NEBRASKA
3	075120005	MEDICARE PIN	IOWA
4	099099136	MEDICARE PIN	NEBRASKA
5	1972588119	MEDICAID	IOWA
6	10026135100	MEDICAID	NEBRASKA

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: 11/14/2023

NPI Synchronization or Removal

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