Advanced Foot & Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

164 Issued in NE

Legal business name

ADVANCED FOOT & ANKLE LLC

Practice address

3213 South 24TH Street
Suite 101B
Omaha, NE 68108-1832

Phone

(402) 345-6503

Fax

(402) 345-0309

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David E Cornell, DPMNPI 1932142254

Title

Ceo

Phone

(402) 345-6503

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David E Cornell, DPM

  • Podiatrist
  • Omaha, NE
  • NPI 1932142254
  Authorized official Same address or phone

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1437607298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 SOUTH 24TH STREET",
            "address_2": "SUITE 101B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081832",
            "telephone_number": "402-345-6503",
            "fax_number": "402-345-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 SOUTH 24TH STREET",
            "address_2": "SUITE 101B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081832",
            "telephone_number": "402-345-6503",
            "fax_number": "402-345-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-345-6503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.