NPIMap

Organization Active NPI

Foot and Ankle Center of Nebraska, P.C.

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1730149246
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT AND ANKLE CENTER OF NEBRASKA, P.C.
Practice address
9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone
(402) 391-7575
Fax
(402) 391-1508
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Robert M Greenhagen, DPMNPI 1649433848
Title
Owner
Phone
(402) 391-7575

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

9006 Ohio St Ste 1
Omaha, NE 68134-6139

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Other practice location 1

411 E Broadway
Council Bluffs, IA 51503-4417
Phone (402) 391-7575

Other practice location 2

1226 N Washington St Ste 103
Papillion, NE 68046-3064
Phone (402) 391-7575

Other practice location 3

2900 E Elk Ln Ste 3
Fremont, NE 68025-8691
Phone (402) 391-7575

Other identifiers 1

IdentifierTypeStateIssuer
DE3879OtherNERAILROAD MEDICARE

Other names 1

  • Robert M Greenhagen, DPM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050415000621 NE Part B Supplier - Clinic/Group Practice 2567409063 Receives reassigned benefits from 12 practitioners
Practice locations: Papillion, NE; Omaha, NE; Fremont, NE; Elkhorn, NE
O20100930038572 NE DME Supplier - Physician - Podiatry 2567409063 Practice locations: Omaha, NE
O20160516001616 IA Part B Supplier - Clinic/Group Practice 2567409063 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Council Bluffs, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

7337 Dodge St
Omaha, NE 68114
Phone (402) 391-7575

9006 Ohio St
Ste 1
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Ste 103
Papillion, NE 68046
Phone (402) 391-7575

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1730149246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034417",
            "country_code": "US",
            "telephone_number": "402-391-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 N Washington St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463064",
            "country_code": "US",
            "telephone_number": "402-391-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 E Elk Ln Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680258691",
            "country_code": "US",
            "telephone_number": "402-391-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF NEBRASKA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "GREENHAGEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-391-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE3879",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert M Greenhagen, DPM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Robert M Greenhagen, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.