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OMAHA FOOT CARE CENTER INC NPI 1487749230


NPI Information

NPI: 1487749230
Provider Name: OMAHA FOOT CARE CENTER INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6659 SORENSEN PARKWAY
OMAHA, NE
ZIP 68152
Phone: (402) 572-0423
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OMAHA FOOT CARE CENTER INC is a podiatrist in Omaha, NE. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. OMAHA FOOT CARE CENTER INC NPI is 1487749230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6659 SORENSEN PARKWAY
OMAHA, NE
ZIP 68152-139
Phone: (402) 572-0423
Fax: (402) 572-0267

The provider's authorized official is Charles Richard Lueck .
The authorized official title is Owner Podiatrist and has the following contact phone number (402) 572-0423.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/2/2010.


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
1213E00000XPodiatristYes

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
1D2526OTHERBCBS NE
2U76937MEDICARE UPIN
31501973MEDICAIDIOWA
4UI0900712OTHEREXCLUSIVE CARE
5=========00MEDICAIDNEBRASKA
64231260001MEDICARE NSC
7480024126MEDICARE PIN
8526929AOTHERPRINCIPAL HEALTH CARE
9269794MEDICARE ID-TYPE UNSPECIFIED
10========= A0001OTHERTRICARE
1127 00096OTHERUNITED HEALTH CARE

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

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