Midwest Foot & Ankle, P.C.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

304 Issued in NE

Legal business name

MIDWEST FOOT & ANKLE, P.C.

Practice address

7643 Cass St
Omaha, NE 68114-3623

Phone

(402) 933-8540

Fax

(402) 933-8578

NPI assigned

Dec 2, 2009

Organization subpart

No

Name

Jon R. Goldsmith, M.D.

Title

Physician

Phone

(402) 933-8540

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2012.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1497083422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143623",
            "telephone_number": "402-933-8540",
            "fax_number": "402-933-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143623",
            "telephone_number": "402-933-8540",
            "fax_number": "402-933-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-933-8540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NE",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025816600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROVIDER",
            "identifier": "27025",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.