ADVANCED FOOT & ANKLE PC (NPI# 1134270416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134270416 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT & ANKLE PC |
| Practice Address |
3213 S 24th St Suite 101b Omaha NE 68108-1832 |
| Practice Telephone | 4023456503 |
| Practice Fax Number | 4023450309 |
| Mailing Telephone | 4023456503 |
| Mailing Fax Number | 4023450309 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | DR. DAVID E CORNELL (CEO) |
| Authorized Official Telephone | 4023456503 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
NE164 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | U S DEPARTMENT OF LABOR | 349957400 | 01 |
| DMERC | 1049740001 | 01 | |
| NE | UNITEDHEALTHCARE | 27-00158 | 01 |
| NE | RAILROAD MEDICARE | 480018212 | 01 |
| RR MEDICARE | CU0388 | 01 | |
| NE | BLUECROSSBLUESHIELD | 02584 | 01 |
| NE | IOWA MEDICAID | 0511113 | 01 |
| NE | COVENTRY HEALTHCARE NEBRA | 87404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129236 | Advanced Foot & Ankle PC | Podiatrist | 32905 W 12 Mile Road, Suite 110, Farmington Hills, MI 48334-3343 | 2006-08-31 |
| 1922036326 | Advanced Foot & Ankle PC | Podiatrist | 1115 Fayette Ave, Belle Vernon, PA 15012-2303 | 2006-06-28 |
| Street Address |
3213 S 24TH ST SUITE 101B |
| City | OMAHA |
| State | NE |
| Zip Code | 68108-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366997868 | Bauza Cardiovascular Specialist LLC | Clinic/Center | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2016-08-25 |
| 1144626581 | Medical Anesthesia Associates PC | Anesthesiology | 3213 S 24th St, Suite 101b, Omaha, NE 68108-1832 | 2014-11-12 |
| 1396050100 | Csj Physician Services LLC | Family Medicine | 3213 S 24th St, Omaha, NE 68108-1832 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256837 | Veronica Wolf | Counselor | 1449 S. 12th Street, Omaha, NE 68108 | 2014-09-04 |
| 1689015737 | Beverly Ann Brown | Occupational Therapy Assistant | 2305 South 10th Street, Omaha, NE 68108 | 2013-07-17 |
| 1679761381 | Denise Nebeker Counseling, Inc | Counselor | 2205 S. 10th Street, Ste 328, Omaha, NE 68108 | 2007-10-09 |
| 1316928435 | Nelso A Testa | Dentist | 2319 Vinton Street, Omaha, NE 68108 | 2005-11-07 |
| 1992166904 | Lauren Stone | Licensed Practical Nurse | 2305 S 10th St, Omaha, NE 68108 | 2016-03-18 |
| 1881032860 | Jordan Dudzinski | Dentist | 2002 Vinton Street, Omaha, NE 68108 | 2013-06-12 |
| 1679680508 | Sarah L Ott | Dentist | 2002 Vinton St, Vinton Street Dental, Omaha, NE 68108 | 2006-08-24 |
| 1932142254 | David E Cornell | Podiatrist | 1207 S 13th St, Omaha, NE 68108-0587 | 2006-06-14 |
| 1649554858 | Natalie Marie Gill | Speech-Language Pathologist | 1206 Castelar St, Omaha, NE 68108-1036 | 2011-10-06 |
| 1417942277 | Delmar Gardens of Omaha, LLC | Skilled Nursing Facility | 2305 S 10th St, Omaha, NE 68108-1108 | 2005-09-16 |
| Find all providers in zip 68108 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739773 | Midplains Podiatry | Clinic/Center | 3346 N 108th St, Omaha, NE 68164-2905 | 2008-08-11 |
| 1497083422 | Midwest Foot & Ankle, P.C. | Clinic/Center | 7643 Cass St, Omaha, NE 68114-3623 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713559 | Rassfeld Foot and Ankle PC | Clinic/Center | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2019-01-10 |
| 1922268234 | Wayne V Videtich Dpm PC | Clinic/Center | 2710 South St, Lincoln, NE 68502-3252 | 2008-06-10 |
Please comment or provide details below to improve the information on ADVANCED FOOT & ANKLE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.