Advanced Foot & Ankle Pc in Omaha - Podiatric

Advanced Foot & Ankle Pc - NPI 1134270416

Advanced Foot & Ankle Pc is a Podiatric in Omaha, Nebraska. Advanced Foot & Ankle Pc practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Advanced Foot & Ankle Pc is 1134270416. The last update date is 2016-09-14.

Advanced Foot & Ankle Pc's current location address is 3213 S 24th St, Omaha, Nebraska. You can contact this provider via phone number 4023456503 and fax number 4023450309. The mailing address for Advanced Foot & Ankle Pc is 3213 S 24th St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Advanced Foot & Ankle Pc
Address 3213 S 24th St, Omaha, Nebraska
Phone Number 4023456503
Fax Number 4023450309
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Cornell E David
Credentials DPM
Telephone Number 4023456503

NPI Number Detail

NPI Number 1134270416
Provider Enumeration Date 2007-01-15
Last Updated Date 2016-09-14

Provider Mailing Address Detail

Address 3213 S 24th St
City Omaha
State Nebraska (NE)
Post Code 681081832
Phone Number 4023456503
Fax Number 4023450309

Provider's Primary Taxonomy Detail

Speciality Podiatric
Taxonomy 261Qp1100X
Licence No NE164
Definition:
Provides conservative and surgical foot and ankle care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
511113 NE IOWA MEDICAID
349957400 NE U S DEPARTMENT OF LABOR
87404 NE COVENTRY HEALTHCARE NEBRA
1049740001 DMERC
480018212 NE RAILROAD MEDICARE
27-00158 NE UNITEDHEALTHCARE
CU0388 RR MEDICARE
2584 NE BLUECROSSBLUESHIELD

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FAQs about Advanced Foot & Ankle Pc

What is the unique identification code assigned to Advanced Foot & Ankle Pc by the Centers for Medicare & Medicaid Services?

The Advanced Foot & Ankle Pc has been issued the NPI (National Provider Identifier) 1134270416. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Advanced Foot & Ankle Pc?

The Advanced Foot & Ankle Pc is situated at 3213 S 24Th St, in the city of Omaha, state of NE, with the zip code 681081832.

What is Advanced Foot & Ankle Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Advanced Foot & Ankle Pc is Podiatric, and the taxonomy classification code that categorizes this area of expertise is 261Qp1100X.

When did the Advanced Foot & Ankle Pc receive its 1134270416?

The Advanced Foot & Ankle Pc was issued its 1134270416 on 2007-01-15, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Advanced Foot & Ankle Pc most recently updated or revised?

The information pertaining to Advanced Foot & Ankle Pc, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-14.

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