MEDICARE: DR. MICHAEL RAY POWERS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	276	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1427348838	OTHER	NE	GROUP NPI NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467474643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL RAY POWERS DPM

Provider Business Mailing Address
First Line	:	10782 V ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-2952
Country	:	US
Telephone Number	:	402-504-9747
Fax Number	:	402-991-6766

Provider Business Practice Location Address
First Line	:	10782 V ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-2952
Country	:	US
Telephone Number	:	402-504-9747
Fax Number	:	402-991-6766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	08/15/2022

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