NPI 1104242437 · live from the CMS NPI Registry
Nebraska Lower Extremity Surgery Group, LLC
Podiatrist, Foot & Ankle Surgery in Omaha, NE. National Provider Identifier 1104242437, active.
NPI record
| NPI | 1104242437 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 18010 R Plz, Suite 106, Omaha, NE 68135 |
| Practice phone | 402-991-8999 |
| Mailing address | 2705 Samson Way, Bellevue, NE 68123 |
| Enumerated | March 11, 2014 |
| Last updated | August 28, 2020 |
| Authorized official | Chad Summy, Owner |
| Other names | Foot And Ankle Specialists |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 289 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.