Provider Demographics
NPI:1962458323
Name:NEBRASKA FOOT & ANKLE, P.C.
Entity type:Organization
Organization Name:NEBRASKA FOOT & ANKLE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-420-0400
Mailing Address - Street 1:7030 HELEN WITT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-3730
Mailing Address - Country:US
Mailing Address - Phone:420-420-0400
Mailing Address - Fax:402-420-0402
Practice Address - Street 1:7030 HELEN WITT DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3730
Practice Address - Country:US
Practice Address - Phone:420-420-0400
Practice Address - Fax:402-420-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00Medicaid
NE5093220002OtherDMEPOS
NEG67566Medicare UPIN
5093220002Medicare NSC
NE00Medicaid