Organization
ADVANCED FOOT & ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E CORNELL DPM (CEO)
(402) 345-6503
Entity
Organization
Contact information
Practice address
3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
(402) 345-6503
(402) 345-0309
Mailing address
3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
(402) 345-6503
(402) 345-0309
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
NE164
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02584
BLUECROSSBLUESHIELD
NE
01
—
0511113
IOWA MEDICAID
NE
01
—
1049740001
DMERC
—
01
—
27-00158
UNITEDHEALTHCARE
NE
01
—
349957400
U S DEPARTMENT OF LABOR
NE
01
—
480018212
RAILROAD MEDICARE
NE
01
—
87404
COVENTRY HEALTHCARE NEBRA
NE
01
—
CU0388
RR MEDICARE
—
Enumeration date
01/15/2007
Last updated
09/14/2016
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