Provider Demographics
NPI:1558509067
Name:POWERS FOOT AND ANKLE, PC
Entity Type:Organization
Organization Name:POWERS FOOT AND ANKLE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:402-991-8999
Mailing Address - Street 1:10780 V ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2952
Mailing Address - Country:US
Mailing Address - Phone:402-991-8999
Mailing Address - Fax:402-991-6766
Practice Address - Street 1:10780 V ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2952
Practice Address - Country:US
Practice Address - Phone:402-991-8999
Practice Address - Fax:402-991-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025518000Medicaid
099583OtherMEDICARE GROUP NUMBER
278196Medicare PIN
099583OtherMEDICARE GROUP NUMBER
NE5607210001Medicare NSC