Provider Demographics
NPI:1447418991
Name:STEVEN D MEINHOLD, PC
Entity type:Organization
Organization Name:STEVEN D MEINHOLD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:MEINHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:402-630-9985
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NE
Mailing Address - Zip Code:68069-0007
Mailing Address - Country:US
Mailing Address - Phone:402-630-9985
Mailing Address - Fax:
Practice Address - Street 1:11334 ELM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4733
Practice Address - Country:US
Practice Address - Phone:402-630-9985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE187213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025688000Medicaid
NA1159OtherMEDICARE PTAN
NA1159OtherMEDICARE PTAN