ADVANCED FOOT & ANKLE PC NPI 1134270416

NPI Information

NPI: 1134270416
Provider Name: ADVANCED FOOT & ANKLE PC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3213 S 24TH ST
SUITE 101B
OMAHA, NE
ZIP 68108
Phone: (402) 345-6503
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ADVANCED FOOT & ANKLE PC is a podiatric clinic center in Omaha, NE. ADVANCED FOOT & ANKLE PC NPI is 1134270416. The provider is registered as an organization entity type.

The provider's business location address is:

3213 S 24TH ST
SUITE 101B
OMAHA, NE
ZIP 68108-832
Phone: (402) 345-6503
Fax: (402) 345-0309

The provider's authorized official is David E Cornell .
The authorized official title is Ceo and has the following contact phone number (402) 345-6503.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 9/14/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	NE164	NEBRASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	NEBRASKA	MIDLANDS CHOICE
2	=========00	MEDICAID	NEBRASKA
3	02584	OTHER	NEBRASKA	BLUECROSSBLUESHIELD
4	1049740001	MEDICARE NSC
5	480018212	OTHER	NEBRASKA	RAILROAD MEDICARE
6	CU0388	OTHER		RR MEDICARE
7	87404	OTHER	NEBRASKA	COVENTRY HEALTHCARE NEBRA
8	=========	OTHER	NEBRASKA	CIGNA HEALTHCARE
9	0511113	OTHER	NEBRASKA	IOWA MEDICAID
10	=========	OTHER	NEBRASKA	HEALTHCARE PREFFERED
11	1049740001	OTHER		DMERC
12	27-00158	OTHER	NEBRASKA	UNITEDHEALTHCARE
13	349957400	OTHER	NEBRASKA	U S DEPARTMENT OF LABOR
14	=========	OTHER	NEBRASKA	TRICARE FOR LIFE
15	098258	MEDICARE PIN	NEBRASKA

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

NPI Synchronization or Removal

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