Organization Active NPI

Norfolk Podiatry Center,LLC

  • Podiatrist
  • Norfolk, NE
National Provider Identifier
1992197669
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
352 Issued in NE
Legal business name
NORFOLK PODIATRY CENTER,LLC
Practice address
1310 N 13TH St Ste 2
Norfolk, NE 68701-2592
Phone
(402) 371-5300
Fax
(844) 224-9500
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Dr. Blayne H McCaffrey, D.P.M.NPI 1881887263
Title
Owner
Phone
(402) 371-5530

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 352 NE Primary

Addresses

Primary practice location

1310 N 13TH St Ste 2
Norfolk, NE 68701-2592

Mailing address

1310 N 13TH St Ste 2
Norfolk, NE 68701-2592
Phone (402) 371-5300

National Provider Directory

National Provider Directory

Locations

901 S 4th St
Battle Creek, NE 68715
Phone (402) 675-2955

1105 S 13th St
Ste 201
Norfolk, NE 68701
Phone (402) 371-5530

1102 N Harrison St
Oneill, NE 68763
Phone (402) 336-2384

Practitioners & affiliated clinicians

Practitioners 4

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": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1992197669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST STE 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "402-371-5300",
            "fax_number": "844-224-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST STE 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "402-371-5300",
            "fax_number": "844-224-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK PODIATRY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "BLAYNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-371-5530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.