Healthcare Provider Details

I. General information

NPI: 1598094807
Provider Name (Legal Business Name): SUMMY FOOT AND ANKLE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 SAMSON WAY
BELLEVUE NE
68123-4307
US

IV. Provider business mailing address

2705 SAMSON WAY
BELLEVUE NE
68123-4307
US

V. Phone/Fax

Practice location:
  • Phone: 402-331-6387
  • Fax: 402-331-6537
Mailing address:
  • Phone: 402-331-6387
  • Fax: 402-331-6537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number289
License Number StateNE

VIII. Authorized Official

Name: DR. CHAD ARRON SUMMY
Title or Position: OWNER
Credential: DPM
Phone: 402-331-6387