NPI 1487069100 · live from the CMS NPI Registry
Matthew Williamson, DPM
Podiatrist, Foot & Ankle Surgery in Lincoln, NE. National Provider Identifier 1487069100, active.
NPI record
| NPI | 1487069100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1150 N 83rd St, Lincoln, NE 68505 |
| Practice phone | 402-483-4485 |
| Enumerated | June 23, 2014 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 2014019083 (MO) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 366 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.