1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

LAKESIDE ORTHOPEDICS PC
NPI 1417149741
Durable Medical Equipment & Medical Supplies - Customized Equipment in Omaha, NE

Active since August 10, 2007
16909 LAKESIDE HILLS CT, SUITE 208, OMAHA, NE 68130(402) 758-5690(402) 758-5699 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeside Orthopedics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ORTHOPEDICS PC (NPI 1417149741) is a healthcare organization registered as a customized equipment in Omaha, Nebraska and active in the NPI registry since August 2007. The organization lists Nancy J Mickelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417149741
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameLAKESIDE ORTHOPEDICS PC
Location Address16909 LAKESIDE HILLS CT, SUITE 208Omaha, NE 68130-4664
Mailing Address16909 Lakeside Hills Ct, Suite 208Omaha, NE 68130-4664 · (402) 758-5690 · Fax (402) 758-5699
Phone(402) 758-5690
Fax(402) 758-5699
Organization SubpartNo
Authorized OfficialNancy J MickelsonOffice Manager · (402) 758-5690
Enumeration DateAugust 10, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1417149741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
16909 LAKESIDE HILLS CT, Omaha, NE 68130
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC5944190002NE
Medicaid10025437200NE
Medicare OSCAR/certification099864

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL THOMAS FRANK M.D.
Specialist
16909 LAKESIDE HILLS CT, LAKESIDE PROF CRT N STE 200
OMAHA, NE 68130
Douglas County (402) 571-5323
LAKESIDE ORTHOPEDICS, PC.
Orthopaedic Surgery
16909 LAKESIDE HILLS CT, SUITE 208
OMAHA, NE 68130
Douglas County (402) 758-5690
BRIAN CONROY MD
Orthopaedic Surgery
16909 LAKESIDE HILLS CT, SUITE 208
OMAHA, NE 68130
Douglas County (402) 758-5690
MIDWEST UROLOGY ASSOCIATES, P.C.
Urology
16909 LAKESIDE HILLS CT, SUITE 200
OMAHA, NE 68130
Douglas County (402) 571-5323
HEATHER M MORGAN M.D.
Family Medicine (Geriatric Medicine)
16909 LAKESIDE HILLS CT, SUITE 300
OMAHA, NE 68130
Douglas County (402) 758-5045
MATTHEW J RIVARD M.D.
Surgery
16909 LAKESIDE HILLS CT, SUITE 211
OMAHA, NE 68130
Douglas County (402) 758-5250
DR. ROBERT F. GRENIER PHARM. D.
Pharmacist
16909 LAKESIDE HILLS CT, SUITE 107
OMAHA, NE 68130
Douglas County (402) 758-5006
SUSAN K FINAN CMSW
Social Worker
16909 LAKESIDE HILLS CT, SUITE 400
OMAHA, NE 68130
Douglas County (402) 717-5850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Orthopedics PC's NPI number?

The NPI number for Lakeside Orthopedics PC is 1417149741. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Lakeside Orthopedics PC located?

Lakeside Orthopedics PC is located at 16909 Lakeside Hills Ct Suite 208, Omaha, NE 68130. The listed phone number is (402) 758-5690.

What is Lakeside Orthopedics PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Lakeside Orthopedics PC was last updated on November 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.