NPIMap

Organization Active NPI

Foot and Ankle Center of Nebraska, P.C.

Doing business as Foot & Ankle Center of Nebraska

  • Durable Medical Equipment & Medical Supplies
  • Council Bluffs, IA
National Provider Identifier
1740743368
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT AND ANKLE CENTER OF NEBRASKA, P.C.
Doing business as
Foot & Ankle Center of Nebraska
Practice address
411 E Broadway
Council Bluffs, IA 51503-4417
Phone
(402) 391-7575
NPI assigned
Apr 10, 2019
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT AND ANKLE CENTER OF NEBRASKA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

411 E Broadway
Council Bluffs, IA 51503-4417

Mailing address

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

Other names 1

  • FOOT & ANKLE CENTER OF NEBRASKA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160516001616 IA Part B Supplier - Clinic/Group Practice 2567409063 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Council Bluffs, IA
O20191119001721 IA DME Supplier - Physician - Podiatry 2567409063 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
Tax ID family
Hilkemann Robert J DME4 organizations share this tax ID, including this one
Part of
Hilkemann Robert J DME

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1740743368",
    "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": "411 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034417",
            "telephone_number": "402-391-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF NEBRASKA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE CENTER OF NEBRASKA PC",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-05-29",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT & ANKLE CENTER OF NEBRASKA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOOT & ANKLE CENTER OF NEBRASKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.