Provider Demographics
NPI:1932103389
Name:SEMPEK, LOUIS MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:MICHAEL
Last Name:SEMPEK
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 1:1401 E GOLD COAST RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5748
Mailing Address - Country:US
Mailing Address - Phone:402-592-2180
Mailing Address - Fax:402-592-2181
Practice Address - Street 1:1401 E GOLD COAST RD
Practice Address - Street 2:STE 100
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5748
Practice Address - Country:US
Practice Address - Phone:402-592-2180
Practice Address - Fax:402-592-2181
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE180213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47069520900Medicaid
NE47069520901Medicaid
NE47069520901Medicaid
NET77018Medicare UPIN
267740Medicare PIN
267740Medicare PIN