PHILIP B SEXTRO DPM NPI 1851394738

NPI Information

NPI: 1851394738
Provider Name: PHILIP B SEXTRO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
620 DIERS AVE
GRAND ISLAND, NE
ZIP 68802
Phone: (308) 381-0404
Get Directions

Philip B Sextro, DPM is a foot and ankle surgery podiatrist in Grand Island, NE. Philip B Sextro, DPM NPI is 1851394738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 DIERS AVE
GRAND ISLAND, NE
ZIP 68802-020
Phone: (308) 381-0404
Fax: (308) 381-0408

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/10/2007.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	213E00000X	NEBRASKA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	135	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	470624949	OTHER	NEBRASKA	CHAMPUS
2	280175	OTHER	NEBRASKA	MEDICARE
3	480021804	OTHER	NEBRASKA	RAILROAD MEDICARE
4	0152470001	OTHER	NEBRASKA	DMERC CIGNA
5	0152470001	OTHER	NEBRASKA	CIGNA
6	02549	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD
7	T40098	MEDICARE UPIN	NEBRASKA
8	47062497913	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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