Provider Demographics
NPI:1467532986
Name:MEINHOLD, STEVEN DALE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DALE
Last Name:MEINHOLD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:402-315-3338
Practice Address - Fax:402-933-5989
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE187213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025688000Medicaid
6205350001OtherMEDICARE NAS
NA1159001OtherMEDICARE INDIVIDUAL PTAN
6205350001Medicare NSC