Organization Active NPI

Lincoln Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Lincoln, NE
National Provider Identifier
1679953392
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LINCOLN FOOT CLINIC
Practice address
600 N Cotner Blvd
Suite 116
Lincoln, NE 68505
Phone
(402) 466-6677
Fax
(402) 466-6724
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Matthew R. Hahne, DPMNPI 1013087402
Title
President
Phone
(402) 466-6677

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X NE Primary

Addresses

Primary practice location

600 N Cotner Blvd
Suite 116
Lincoln, NE 68505

Mailing address

600 N Cotner Blvd
Suite 116
Lincoln, NE 68505-2343
Phone (402) 466-6677

Other identifiers 2

IdentifierTypeStateIssuer
1013087402OtherNEPERSONAL NPI
52868847700MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709002964 NE Part B Supplier - Clinic/Group Practice 4981916533 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE; Seward, NE; Beatrice, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1679953392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-466-6677",
            "fax_number": "402-466-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68505",
            "telephone_number": "402-466-6677",
            "fax_number": "402-466-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "HAHNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-466-6677",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1013087402",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52868847700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.