OMAHA FOOT AND ANKLE SPECIALISTS PC (NPI# 1730289125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730289125 |
| Entity Type | Organization |
| Organization Name | OMAHA FOOT AND ANKLE SPECIALISTS PC |
| Practice Address |
16909 Burke St. Suite 200 Omaha NE 68118 |
| Practice Telephone | 4023338856 |
| Practice Fax Number | 4023333428 |
| Mailing Telephone | 4023338856 |
| Mailing Fax Number | 4023333428 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MICHAEL P CULLEN (OWNER) |
| Authorized Official Telephone | 4023338856 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
220 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE RR | DA4693 | 01 |
| Street Address |
16909 BURKE ST. SUITE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851329114 | Michael P Cullen | Podiatrist | 16909 Burke St., Suite 200, Omaha, NE 68118 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548219462 | Samuel James Determan | Podiatrist | 17816 Holmes Cir, Omaha, NE 68135-3406 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821188558 | Charles Milo Halverson | Podiatrist | 1540 North Bell Street, Fremont, NE 68025-3537 | 2006-10-13 |
| 1487620548 | Steven John Bennett | Podiatrist | 3804 Central Ave, Kearney, NE 68847-8134 | 2006-02-27 |
| 1245210822 | James E Lewandowski | Podiatrist | 820 W Division St, Grand Island, NE 68801-6542 | 2006-01-19 |
| 1528063930 | Jonathan Michael Little | Podiatrist | 1313 Harlan Dr., Bellevue, NE 68005 | 2005-06-14 |
| 1063741114 | Foot Care Center, PC | Podiatrist | 1540 North Bell Street, Fremont, NE 68025-3537 | 2009-12-21 |
| 1588852909 | James E Lewandowski Dpm | Podiatrist | 820 W Division St, Grand Island, NE 68801-6542 | 2007-10-10 |
| 1730384603 | Sterling Foot and Ankle Ctr P.C. | Podiatrist | 1625 Dorwart Dr, Sidney, NE 69162-2505 | 2007-06-19 |
| 1750503082 | Western Plains Foot Center, P.C. | Podiatrist | 2 W 42nd St, Ste 2700, Scottsbluff, NE 69361-0617 | 2007-05-03 |
| 1245455146 | Affiliated Foot Clinics L.L.C. | Podiatrist | 850 N Main St, Fremont, NE 68025-5045 | 2007-04-16 |
| 1922108646 | Fred M James | Podiatrist | 600 N Cotner Blvd, Suit 116, Lincoln, NE 68505-2343 | 2006-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OMAHA FOOT AND ANKLE SPECIALISTS 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.