DR. SCOTT E RUNDE (NPI# 1154355667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154355667 |
Entity Type | Individual |
Full Name | DR. SCOTT E RUNDE |
Credential | DPM |
Practice Address |
919 Northland Dr Princeton MN 55371-2172 |
Practice Telephone | 7633896353 |
Practice Fax Number | 7633897688 |
Mailing Telephone | 7633896353 |
Mailing Fax Number | 7633897688 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2018-05-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MN733 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8376790 | 05 | |
WA | LABOR & INDUSTRIES | 182431 | 01 |
Street Address |
919 NORTHLAND DR |
City | PRINCETON |
State | MN |
Zip Code | 55371-2172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639143688 | Clifford M Matushin | Internal Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-02-15 |
1063775260 | Robert K Brownawell | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2012-06-21 |
1003193509 | Nhat-anh Nguyen Ngo | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2011-11-11 |
1366671869 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 919 Northland Dr, Princeton, MN 55371-2172 | 2009-07-07 |
1821242017 | Fairview Clinics | Clinic/Center | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-11-14 |
1932367760 | Teresa Jean Duscher | Nurse Practitioner | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-05-29 |
1730364191 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-01-04 |
1831388974 | Lisa M. Cinar | Pediatrics | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-10-15 |
1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
Find all providers in zip 55371 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922096783 | John F Stanoch | Podiatrist | 11 N Harrison St, Princeton, NJ 08540-3502 | 2005-10-06 |
1124470745 | Amanda Mcguire | Podiatrist | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2016-07-07 |
1093166076 | Bradley Henry Hoffman | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2016-06-30 |
1447273883 | Elie Chukri Daniel | Podiatrist | 530 Park Ave E, Suite 204, Princeton, IL 61356-3901 | 2006-07-26 |
1437189321 | Anthony P Zarra | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-07-04 |
1740227909 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-31 |
1932159704 | James Louis Chianese | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-11 |
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.