Provider Demographics
NPI:1316934946
Name:HILKEMANN, ROBERT J (DPM)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:HILKEMANN
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 1:7337 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3613
Mailing Address - Country:US
Mailing Address - Phone:402-391-7575
Mailing Address - Fax:402-391-1508
Practice Address - Street 1:7337 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3613
Practice Address - Country:US
Practice Address - Phone:402-391-7575
Practice Address - Fax:402-391-1508
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE143213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NET40101Medicare UPIN
NE0284260001Medicare NSC
NE098526Medicare PIN