ACTIVE FEET, FOOT & ANKLE HEALTH CENTER (NPI# 1194158154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194158154 |
| Entity Type | Organization |
| Organization Name | ACTIVE FEET, FOOT & ANKLE HEALTH CENTER |
| Other Organization Name | MIDWEST PODIARTY CENTERS |
| Practice Address |
6625 Lyndale Ave S Ste 105 Minneapolis MN 55423-2673 |
| Mailing Address |
6625 Lyndale Ave S Ste 300 Richfield MN 55423-2491 |
| Practice Telephone | 6127888778 |
| Mailing Telephone | 6127888778 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. BRYAN L MOHR (DR OF PODIATRY) |
| Authorized Official Telephone | 6122008020 |
| Authorized Official Credential | DP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
631 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midwest Podiarty Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
| 1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
| 1689848392 | Active Feet, Foot & Ankle Health Center | Optometrist | 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | 2008-04-15 |
| Street Address |
6625 LYNDALE AVE S STE 105 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55423-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689848392 | Active Feet, Foot & Ankle Health Center | Optometrist | 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
| 1235164856 | Ronald Richard Vessey | Clinic/Center | 825 Nicollet Mall Ste 411, Minneapolis, MN 55402-2611 | 2006-07-12 |
| 1366893430 | Department of Veterans Affairs | Clinic/Center | 1 Veterans Dr, Routing Number 119, Minneapolis, MN 55417-2309 | 2016-06-29 |
| 1790171171 | Mill City Dermatology, P.a. | Clinic/Center | 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 | 2015-04-12 |
| 1972864742 | University of Minnesota | Clinic/Center | 420 Delaware St Se, Mmc 295, Minneapolis, MN 55455-5001 | 2012-06-07 |
| 1275894982 | Children's Clinic Network | Clinic/Center | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2012-05-30 |
| 1447534904 | Affinity Health Chiropractic, P.a. | Clinic/Center | 1527 E Lake St, Suite 200a, Minneapolis, MN 55407-6700 | 2011-10-03 |
| 1568786150 | Minnesota Colon & Rectal Surgical Specialists, Pllc | Clinic/Center | 910 E 26th St, Suite 101, Minneapolis, MN 55404-4526 | 2010-03-25 |
| 1740475425 | University of Minnesota | Clinic/Center | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-09-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55423 |
Please comment or provide details below to improve the information on ACTIVE FEET, FOOT & ANKLE HEALTH CENTER.
| 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.