DR. MICHAEL DEAN O'BORSKY (NPI# 1053477406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053477406 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEAN O'BORSKY |
| Credential | D.P.M. |
| Practice Address |
1700 Highway 25 N Buffalo MN 55313-1930 |
| Practice Telephone | (763) 682-1313 |
| Practice Fax Number | 7632713807 |
| Mailing Telephone | (763) 682-1313 |
| Mailing Fax Number | 7632713807 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
517 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1053477406 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Center Dr, Buffalo, MN 553132956 | 7636829433 | 7636848055 |
| Street Address |
1700 HIGHWAY 25 N |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337978 | Charles Michael Yancey | Ophthalmology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2005-06-27 |
| 1780236943 | Jenna Katnis | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2019-07-09 |
| 1124503644 | Patrick Kevin Hayden | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2018-10-01 |
| 1124538756 | Lauren Lynn Ducklow | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2017-10-10 |
| 1770032773 | Kathryn Smith | Nurse Practitioner | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2016-10-02 |
| 1558717587 | Beth Brinkman | Family Medicine | 1700 Highway 25 N, Buffalo, MN 55313 | 2016-05-09 |
| 1376929968 | Kristina M Kessler | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2015-08-05 |
| 1952791139 | Emalie Scott | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2015-01-27 |
| 1699174508 | Amanda Rose Zehrer | Obstetrics & Gynecology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-08-15 |
| 1073927869 | Jessica Lynn Mann | Optometrist | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1720046253 | Michael D Aquino | Podiatrist | 564 Niagara St, Buffalo, NY 14201-1108 | 2006-05-03 |
| 1013986512 | Robert Allen Hewson | Podiatrist | 344 Niagara Falls Blvd, Buffalo, NY 14223-3044 | 2006-03-16 |
| 1346773488 | Christopher Keating | Podiatrist | 3925 Sheridan Dr, Buffalo, NY 14226-1738 | 2017-04-05 |
| 1851749949 | Jacob Meisenburg | Podiatrist | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2016-05-30 |
| 1326452244 | Steven Robert Smith | Podiatrist | 303 Catlin St, Buffalo, MN 55313-1947 | 2014-06-18 |
| 1235558818 | Jules Bodo | Podiatrist | 2121 Main St, Ste 214, Buffalo, NY 14214-2693 | 2014-04-10 |
| 1336442128 | Aaron Czekaj, Dpm Pllc | Podiatrist | 881 Richmond Ave, Buffalo, NY 14222-1117 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1114351376 | Katie R Evans | Podiatrist | 616 9th St N, Virginia, MN 55792-2320 | 2013-08-23 |
| 1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
| 1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
| 1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
| 1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
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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.