PRAIRIE FOOT & ANKLE PC (NPI# 1528587813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528587813 |
| Entity Type | Organization |
| Organization Name | PRAIRIE FOOT & ANKLE PC |
| Practice Address |
800 N Alpha St Grand Island NE 68803-4320 |
| Practice Telephone | 3086460077 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | CORY S BLACKBURN (PRESIDENT) |
| Authorized Official Telephone | 3086460077 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
800 N ALPHA ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501716 | Jennifer L King | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2005-07-13 |
| 1780201285 | Karl Vollers | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2020-06-30 |
| 1114574696 | Jose Bajo | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-08-20 |
| 1730648569 | John Linder | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-03-19 |
| 1114367547 | Swathi Lavudi | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2013-06-29 |
| 1528350485 | Corey S. Blackburn | Podiatrist | 800 N Alpha St, Grand Island, NE 68803-4320 | 2011-05-11 |
| 1770874570 | Amy Elizabeth Theesen | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2011-04-27 |
| 1538493507 | Purva Girish Gumaste | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2009-09-23 |
| 1760421283 | Jane A Mcdonald | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2006-06-06 |
| 1790724201 | Ryan D Crouch | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205197878 | Jonathan B Wilson | Podiatrist | 620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 | 2012-05-31 |
| 1528350485 | Corey S. Blackburn | Podiatrist | 800 N Alpha St, Grand Island, NE 68803-4320 | 2011-05-11 |
| 1497774137 | Scot W Bandel | Podiatrist | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607298 | Advanced Foot & Ankle LLC | Podiatrist | 3213 South 24th Street, Suite 101b, Omaha, NE 68108-1832 | 2016-09-21 |
| 1467830083 | Ryan Supon | Podiatrist | 2824 North 6th Ave, Omaha, NE 68104-3928 | 2015-05-14 |
| 1164619409 | Katherine J. Berger, D.p.m. | Podiatrist | 747 N Burlington Ave Ste 308, Hastings, NE 68901-4478 | 2007-10-01 |
| 1023203874 | Richard M. Evans, D.p.m., P.C. | Podiatrist | 3401 O St, Lincoln, NE 68510-1541 | 2007-09-13 |
| 1982826111 | Ankle & Foot Clinic PC | Podiatrist | 8625 Q St, Omaha, NE 68127-3673 | 2007-05-03 |
| 1467532986 | Steven Dale Meinhold | Podiatrist | 11334 Elm St, Omaha, NE 68144-4733 | 2006-10-17 |
| 1043390578 | Elizabeth Marie Klawitter | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2006-10-17 |
| 1710076906 | Torrey Brett Rassfeld | Podiatrist | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2006-10-12 |
| 1487749230 | Omaha Foot Care Center Inc | Podiatrist | 6659 Sorensen Parkway, Omaha, NE 68152-2139 | 2006-10-04 |
| 1508978693 | Brock Randall Angelos | Podiatrist | 4213 O St, Lincoln, NE 68510-1751 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
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| 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.