NPI 1104155191 · live from the CMS NPI Registry
Jordan Luke Sikes, DPM
Podiatrist, Foot & Ankle Surgery in Omaha, NE. National Provider Identifier 1104155191, active.
NPI record
| NPI | 1104155191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 9006 Ohio St Ste 1, Omaha, NE 68134 |
| Practice phone | 402-391-7575 |
| Enumerated | December 22, 2009 |
| Last updated | May 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 330 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.