Healthcare Provider Details

I. General information

NPI: 1114441326
Provider Name (Legal Business Name): CHARLES DAVID VOIGT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2017
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4740 A ST STE 100
LINCOLN NE
68510-4854
US

IV. Provider business mailing address

4740 A ST STE 100
LINCOLN NE
68510-4854
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-7825
  • Fax: 402-483-7839
Mailing address:
  • Phone: 402-483-7825
  • Fax: 402-483-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8074
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD-51731
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number36993
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: