Provider Demographics
NPI:1164956728
Name:MEAIKE, JESSE DEAN (MD)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:DEAN
Last Name:MEAIKE
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 1:2701 W NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4407
Mailing Address - Country:US
Mailing Address - Phone:402-844-8291
Mailing Address - Fax:402-844-8392
Practice Address - Street 1:2701 W NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4407
Practice Address - Country:US
Practice Address - Phone:402-844-8291
Practice Address - Fax:402-844-8392
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE363152082S0105X, 2086S0122X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery