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EUGENE A. WALTKE M.D.
NPI 1972588119
Surgery - Vascular Surgery in Omaha, NE

Active since December 09, 2005
515 N 162ND AVE, SUITE 300, OMAHA, NE 68118(402) 393-6624(402) 393-6635 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eugene A. Waltke M.d. NPPES

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

EUGENE A. WALTKE M.D. (NPI 1972588119) is an individual vascular surgery provider in Omaha, Nebraska, licensed in Nebraska (14622) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1972588119
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameEUGENE A. WALTKECredential: M.D.
Location Address515 N 162ND AVE, SUITE 300Omaha, NE 68118-2539
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 393-6624
Fax(402) 393-6635
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateAugust 6, 2014
✔ NPI 1972588119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in NE · 14622✔ Licensed in IA · 26981
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
515 N 162ND AVE, Omaha, NE 68118
Open in Google Maps ↗

Other Identifiers 6

Medicaid10025724800NE
Medicare UPINB68042NE
Medicare PIN075120005IA
Medicare PIN099099136NE
Medicaid1972588119IA
Medicaid10026135100NE

Other Providers at the Same Location NPPES 6

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

PHYSICIANAS CLINIC, INC.
Durable Medical Equipment & Medical Supplies
515 N 162ND AVE, STE. 300
OMAHA, NE 68118
Douglas County (402) 393-6624
MRS. KATHRYN JANE BRAND APRN
Nurse Practitioner (Family)
515 N 162ND AVE, SUITE # 301
OMAHA, NE 68118
Douglas County (402) 354-7320
SCOTT P. WATTENHOFER M.D.
Surgery (Vascular Surgery)
515 N 162ND AVE, SUITE 300
OMAHA, NE 68118
Douglas County (402) 393-6624
KAILYN ELIZABETH KENNETT
Nurse Practitioner (Family)
515 N 162ND AVE
OMAHA, NE 68118
Douglas County (402) 354-7320
BRIDGET M WIECZOREK CNM
Advanced Practice Midwife
515 N 162ND AVE, SUITE 102
OMAHA, NE 68118
Douglas County (402) 397-6600
MRS. JANIS KAY COLE APRN
Nurse Practitioner (Family)
515 N 162ND AVE, SUITE # 301
OMAHA, NE 68118
Douglas County (402) 354-7320

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 Eugene Waltke's NPI number?

The NPI number for Eugene Waltke is 1972588119. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Eugene Waltke located?

Eugene Waltke practices at 515 N 162nd Ave Suite 300, Omaha, NE 68118. The listed phone number is (402) 393-6624.

What is Eugene Waltke's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Eugene Waltke was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.