ELITE FOOT AND ANKLE SPECIALISTS (NPI# 1407286974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407286974 |
| Entity Type | Organization |
| Organization Name | ELITE FOOT AND ANKLE SPECIALISTS |
| Practice Address |
16312 Sheffield Cir Bennington NE 68007-1863 |
| Practice Telephone | 4026906286 |
| Mailing Telephone | 4026906286 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | DR. REANEN E MICHAEL JR. (OWNER) |
| Authorized Official Telephone | 4026906286 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
339 | NE | Podiatric Medicine & Surgery Service Providers |
| Street Address |
16312 SHEFFIELD CIR |
| City | BENNINGTON |
| State | NE |
| Zip Code | 68007-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382409 | Kimberley Ann Cox Yahnke | Occupational Therapist | 15037 Cherry St, Bennington, NE 68007 | 2015-07-24 |
| 1932414604 | Community Rehab Inc. | Clinic/Center | 12301 No. 149th Circle, Ridgewood Clubhouse, Omaha, NE 68007 | 2010-08-18 |
| 1144431776 | Paul E Bacino Dds PC | Dentist | 132 S Stark St, Bennington, NE 68007 | 2007-05-25 |
| 1871657791 | Bennington Volunteer Fire | Ambulance | 15509 Warehouse Street, Bennington, NE 68007 | 2006-12-22 |
| 1851477715 | Chad Ferguson | Chiropractor | 15763 Cw Hadan Dr, Bennington, NE 68007 | 2006-10-31 |
| 1306995923 | Ferguson Health Care Inc | Chiropractor | 15763 Cw Hadan Dr, Bennington, NE 68007 | 2007-01-10 |
| 1023170628 | Paul Edward Bacino | Dentist | 132 South Stark St, Bennington, NE 68007-0166 | 2006-12-14 |
| 1689929648 | Heather E Clover | Counselor | 8064 N 144th Avenue Cir, Bennington, NE 68007-1101 | 2012-07-16 |
| 1306462833 | Derek Moore | In Home Supportive Care | 15024 Mormon St, Bennington, NE 68007-1246 | 2020-06-20 |
| 1669909792 | Amanda M Kluver | Specialist/Technologist | 15810 Young Cir, Bennington, NE 68007-1400 | 2017-05-19 |
| Find all providers in zip 68007 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982647889 | William J Sarchino | Podiatrist | 343 Dewey St, Bennington, VT 05201-2253 | 2006-06-14 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1538652839 | Breton Fox | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-06-11 |
| 1942793708 | Shazad Ashraf Buksh | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-06-07 |
| 1871023960 | Cody Clarke Anderson | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2017-06-12 |
| 1295187300 | Jeffrey Pantano | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2016-07-13 |
| 1376995746 | Mccamie Dearmon Patterson | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2016-07-08 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 68007 |
Please comment or provide details below to improve the information on ELITE FOOT AND ANKLE SPECIALISTS.
| 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.