Provider Type Icon

NEBRASKA LOWER EXTREMITY SURGERY GROUP LLC NPI 1114343449


NPI Information

NPI: 1114343449
Provider Name: NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC

Doing Business As: FOOT AND ANKLE SPECIALISTS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1301 N 72ND ST
OMAHA, NE
ZIP 68114
Phone: (402) 991-8999
Get Directions

NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC is a foot and ankle surgery podiatrist in Omaha, NE. NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC NPI is 1114343449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot And Ankle Specialists.

The provider's business location address is:

1301 N 72ND ST
OMAHA, NE
ZIP 68114-903
Phone: (402) 991-8999
Fax: (402) 331-6537

The provider's authorized official is Chad A Summy .
The authorized official title is Owner and has the following contact phone number (402) 991-8999.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 8/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery289NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026123800MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.