MAPLEWOOD PODIATRY, LLC (NPI# 1023069259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023069259 |
| Entity Type | Organization |
| Organization Name | MAPLEWOOD PODIATRY, LLC |
| Other Organization Name | MIDWEST FOOT & ANKLE SPECIALISTS |
| Practice Address |
2520 White Bear Ave N Suite A Maplewood MN 55109-5136 |
| Practice Telephone | 6517703891 |
| Practice Fax Number | 6517483117 |
| Mailing Telephone | 6517703891 |
| Mailing Fax Number | 6517483117 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | DR. VINCE SIMONE (OWNER) |
| Authorized Official Telephone | 6517703891 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 156603200 | 05 |
| Other Name | Type Code |
|---|---|
| Midwest Foot & Ankle Specialists | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095093 | Maplewood Podiatry, LLC | Podiatrist | 1940 Greeley St S, Suite 122, Stillwater, MN 55082-5097 | 2010-01-05 |
| Street Address |
2520 WHITE BEAR AVE N SUITE A |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053917 | Vincent Simone Jr. | Podiatrist | 2520 White Bear Ave N, Suite A, Maplewood, MN 55109-5136 | 2005-06-20 |
| 1558803304 | Lee Vision Family Eye Clinic, LLC | Optometrist | 2520 White Bear Ave N, Suite B, Maplewood, MN 55109-5136 | 2016-11-10 |
| 1033467915 | Allen Ma Lee | Optometrist | 2520 White Bear Ave N, Suite B, Maplewood, MN 55109-5136 | 2012-08-26 |
| 1912237652 | Maplewood Podiatry | Podiatrist | 2520 White Bear Ave N, Suite A, Maplewood, MN 55109-5136 | 2009-12-31 |
| 1356454391 | Pdr Maplewood, Inc | Chiropractor | 2520 White Bear Ave N, Suite A, Maplewood, MN 55109-5136 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053917 | Vincent Simone Jr. | Podiatrist | 2520 White Bear Ave N, Suite A, Maplewood, MN 55109-5136 | 2005-06-20 |
| 1396803086 | Maplewood Podiatry Clinic, Pa | Podiatrist | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2006-12-05 |
| 1073545851 | Maren Elze | Podiatrist | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1033553789 | Advanced Foot & Ankle Clinic LLP | Podiatrist | 633 1st St Se Ste 100, Faribault, MN 55021-6348 | 2013-04-24 |
| 1881963239 | Foot Care Across America, LLC | Podiatrist | 14654 Rhinestone Terrace, Ramsey, MN 55303-4923 | 2011-12-14 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1619261708 | Nathan D Sanders | Podiatrist | 404 West Fountain Street, Albert Lea, MN 56007-3920 | 2011-06-06 |
| 1427352087 | Doctors By Your Side | Podiatrist | 6600 Lyndale Av S, #120, Richfield, MN 55423-3398 | 2010-12-22 |
| 1154566396 | Sarah Phelps Whittaker | Podiatrist | 2221 Ford Parkway, Suite #350, Saint Paul, MN 55116-3837 | 2008-12-02 |
| 1568635969 | Bolcer Podiatry, Inc. | Podiatrist | 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 | 2008-04-07 |
| 1194846782 | Range Podiatric Care, Pa | Podiatrist | 809 N 6th Ave, Northgate Plaza, Virginia, MN 55792-2308 | 2007-04-02 |
| 1285779991 | John Tyler Garner | Podiatrist | 2302 Highway 53, Eveleth, MN 55734-8523 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.