Organization Active NPI

James E Lewandowski DPM

Doing business as Mid Nebraska Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Grand Island, NE
National Provider Identifier
1588852909
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
230 Issued in NE
Legal business name
JAMES E LEWANDOWSKI DPM
Doing business as
Mid Nebraska Foot Clinic
Practice address
820 W Division St
Grand Island, NE 68801-6542
Phone
(308) 381-7262
Fax
(308) 381-4672
NPI assigned
Oct 10, 2007
Reactivated
Jan 2, 2008
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
James E Lewandowski, DPMNPI 1245210822
Title
Physician Owner
Phone
(308) 381-7262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 230 NE Primary
Foot Surgery Podiatrist 213ES0131X 230 NE

Addresses

Primary practice location

820 W Division St
Grand Island, NE 68801-6542

Mailing address

820 W Division St
Grand Island, NE 68801-6542
Phone (308) 381-7262

Other names 1

  • Mid Nebraska Foot Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098477 NE DME Supplier - Physician - Podiatry 9830219724 1 other NPI on this enrollment
Practice locations: Grand Island, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

820 W Division St
Grand Island, NE 68801
Phone (308) 381-7262

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1588852909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIVISION ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016542",
            "telephone_number": "308-381-7262",
            "fax_number": "308-381-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W DIVISION ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016542",
            "telephone_number": "308-381-7262",
            "fax_number": "308-381-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E LEWANDOWSKI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-10-08",
        "deactivation_date": "2007-11-09",
        "reactivation_date": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "308-381-7262",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "230",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NE",
            "license": "230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Nebraska Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.