Organization Active NPI

Summy Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Bellevue, NE
National Provider Identifier
1598094807
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
289 Issued in NE
Legal business name
SUMMY FOOT AND ANKLE, PC
Practice address
2705 Samson Way
Bellevue, NE 68123-4307
Phone
(402) 331-6387
Fax
(402) 331-6537
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Chad Arron Summy, DPM
Title
Owner
Phone
(402) 331-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 289 NE Primary

Addresses

Primary practice location

2705 Samson Way
Bellevue, NE 68123-4307

Mailing address

2705 Samson Way
Bellevue, NE 68123-4307
Phone (402) 331-6387

Other identifiers 1

IdentifierTypeStateIssuer
10025128000MedicaidNE

National Provider Directory

National Provider Directory

Locations

1301 N 72nd St
Omaha, NE 68114
Phone (402) 393-1741

13933 Gold Cir
Omaha, NE 68144
Phone (402) 333-8125

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1598094807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SAMSON WAY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234307",
            "telephone_number": "402-331-6387",
            "fax_number": "402-331-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SAMSON WAY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234307",
            "telephone_number": "402-331-6387",
            "fax_number": "402-331-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMY FOOT AND ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "SUMMY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ARRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-331-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025128000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.