# NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot and Ankle Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114343449
- **Authorized official:** CHAD A SUMMY DMP (OWNER)
- **Authorized official phone:** (402) 991-8999

## Contact information

- **Practice address:** 1301 N 72ND ST, OMAHA, NE 68114-1903
- **Practice address phone:** (402) 991-8999
- **Practice address fax:** (402) 331-6537
- **Mailing address:** 2705 SAMSON WAY, BELLEVUE, NE 68123-4307
- **Mailing address phone:** (402) 991-8999
- **Mailing address fax:** (402) 331-6537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 289 | NE | Yes |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 08/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026123800 | — | NE |