Healthcare Provider Details

I. General information

NPI: 1811340417
Provider Name (Legal Business Name): GIAIMO PODIATRY OF NEBRASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S 13TH ST STE 1900
LINCOLN NE
68508-2000
US

IV. Provider business mailing address

4350 BROWNSBORO RD STE 210
LOUISVILLE KY
40207-1681
US

V. Phone/Fax

Practice location:
  • Phone: 502-244-2441
  • Fax:
Mailing address:
  • Phone: 502-244-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number359
License Number StateNE

VIII. Authorized Official

Name: JOY L STEVENS
Title or Position: VP OF REVENUE ASSURANCE
Credential:
Phone: 502-244-2441