Organization Active NPI

Affiliated Foot Clinics L.L.C.

  • Foot Surgery Podiatrist
  • Fremont, NE
National Provider Identifier
1245455146
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
273 Issued in NE
Legal business name
AFFILIATED FOOT CLINICS L.L.C.
Practice address
850 N Main St
Fremont, NE 68025-5045
Phone
(402) 721-2698
Fax
(402) 727-5150
NPI assigned
Apr 16, 2007
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James T Vukonich, DPMNPI 1477596443
Title
Physician
Phone
(402) 721-2698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 273 NE Primary

Addresses

Primary practice location

850 N Main St
Fremont, NE 68025-5045

Mailing address

850 N Main St
Fremont, NE 68025-5045
Phone (402) 721-2698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100130000229 NE Part B Supplier - Clinic/Group Practice 6507909579 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, NE; Hastings, NE; Lincoln, NE; Schuyler, NE

National Provider Directory

National Provider Directory

Locations

850 N Main St
Fremont, NE 68025
Phone (402) 721-2698

208 S Burlington Ave
Ste 107
Hastings, NE 68901
Phone (402) 462-2331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1245455146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255045",
            "telephone_number": "402-721-2698",
            "fax_number": "402-727-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255045",
            "telephone_number": "402-721-2698",
            "fax_number": "402-727-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED FOOT CLINICS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "VUKONICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-721-2698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NE",
            "license": "273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.