Provider Demographics
NPI:1578588257
Name:ORCHARD, TODD FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:FRANCIS
Last Name:ORCHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 LUCILE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4211
Mailing Address - Country:US
Mailing Address - Phone:402-483-2572
Mailing Address - Fax:402-483-2619
Practice Address - Street 1:4400 LUCILE DR STE 103
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4211
Practice Address - Country:US
Practice Address - Phone:402-483-2572
Practice Address - Fax:402-483-2619
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20156208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
240004599OtherRR MEDICARE PERFORMING #
1300044OtherUNITED HEALTH CARE
NE47066039913Medicaid
4943OtherMIDLANDS CHOICE PPO
CG2908OtherRAILROAD MEDICARE GROUP #
NE31201OtherBLUE CROSS BLUE SHIELD
NE47066039913Medicaid
F44997Medicare UPIN
099719Medicare ID - Type UnspecifiedGROUP #