Active NPI
Eric So, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 376
- Practice address
- 5055 A St Ste 400a
Lincoln, NE 68510-4957 - Phone
- (024) 483-4485
- Fax
- (402) 483-5372
- NPI assigned
- Apr 9, 2015
- Last updated
- Jan 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Podiatrist | 213E00000X | POD-000905 | AZ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 376 | NE | Primary |
Addresses
Primary practice location
5055 A St Ste 400a
Lincoln, NE 68510-4957
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
19980 Buena Vista St
Stilwell, KS 66085-8601
Phone (402) 481-1111
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011
5055 A St
Lincoln, NE 68510-4970
708 N 18TH St
Community Memorial Healthcare
Marysville, KS 66508-1338
Phone (785) 562-2311
Hospital & facility affiliations
- Community Memorial Healthcare, Inc.
- Bryan Medical Center
- Syracuse Area Health
- Washington County Hospital
- Madonna Rehabilitation Hospital Lincoln
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 94 |
| Removal or shaving of skin growth | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-000905 | AZ | MD | Podiatrist |
| 376 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Bryan Physician Network | Podiatrist | Past | Accepting new patients |
| Northwoods Surgery Center LLC | Past | Accepting new patients |
Locations
708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311
2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
5055 A St
Ste 400
Lincoln, NE 68510
Phone (402) 483-3890
5055 A St
Ste 400A
Lincoln, NE 68510
Phone (402) 481-4485
Interoperability endpoints
- eso99059@hisp.bryanhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Capital Foot & Ankle
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1083205512
Podiatrist
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1972557635
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
dba Syracuse Area Health
- Critical Access Hospital
- Syracuse, NE
- NPI 1013925924
-
dba Madonna Rehabilitation Hospital Lincoln
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
- Critical Access Hospital
- Marysville, KS
- NPI 1902872997
-
- Critical Access Hospital
- Washington, KS
- NPI 1962403584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1679969364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 A ST STE 400A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104957",
"telephone_number": "024-483-4485",
"fax_number": "402-483-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "ERIC",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "POD-000905",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NE",
"license": "376",
"primary": true
}
],
"identifiers": [],
"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 Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.