MEDICARE: POWERS FOOT AND ANKLE, PC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	099583	OTHER		MEDICARE GROUP NUMBER

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

General Provider Information

NPI Number	:	1558509067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POWERS FOOT AND ANKLE, PC

Provider Business Mailing Address
First Line	:	10780 V ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-2952
Country	:	US
Telephone Number	:	402-991-8999
Fax Number	:	402-991-6766

Provider Business Practice Location Address
First Line	:	10780 V ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-2952
Country	:	US
Telephone Number	:	402-991-8999
Fax Number	:	402-991-6766

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL RAY POWERS
Credential	:	DPM
Telephone Number	:	402-991-8999

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	12/02/2009

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Directions to “POWERS FOOT AND ANKLE, PC ” Practice Location

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