TROY J BOFFELI (NPI# 1578539615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578539615 |
| Entity Type | Individual |
| Full Name | TROY J BOFFELI |
| Credential | DPM |
| Practice Address |
435 Phalen Blvd Saint Paul MN 55130-5302 |
| Mailing Address |
8170 33rd Ave S Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 6512548380 |
| Practice Fax Number | 6512548386 |
| Mailing Telephone | 6512548380 |
| Mailing Fax Number | 6512548386 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 689-25 | MN | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
689-25 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 519315000 | 05 |
| Street Address |
435 PHALEN BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740720812 | Nicole Renee Hoisser | Nurse Practitioner | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-03-08 |
| 1922548809 | Amy Jo Porter | Specialist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-02-27 |
| 1285186619 | Katherine Jonas | Physician Assistant | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-11-02 |
| 1316491970 | Angela Kezar | Occupational Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-11 |
| 1760833446 | Marie-pier Winters | Physical Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-06-24 |
| 1376904698 | Michaelen Elise Sundstrom | Physical Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-03-14 |
| 1932568524 | Lindsay Knight | Specialist/Technologist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-02-11 |
| 1134594310 | Dawn Babcock | Nurse Practitioner | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-12-14 |
| 1750767158 | Leonardo E Candelario Perez | Psychologist | 435 Phalen Blvd, Saint Paul, MN 55130 | 2015-08-07 |
| 1487030490 | Clinton Mccullough | Specialist/Technologist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865894 | Minnesota Foot and Ankle Clinic P A | Podiatrist | 1600 University Ave W, Suite 19-c, Saint Paul, MN 55104-3825 | 2006-03-14 |
| 1093375586 | Zachary Lubek | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2019-06-17 |
| 1659857654 | Abimbola Johnson | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-07-13 |
| 1588150825 | Collin Grant Messerly | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-07-10 |
| 1104310929 | Tyler Kenneth Sorensen | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-06-15 |
| 1548790611 | Elizabeth Finley Neubauer | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-06-12 |
| 1932638400 | Samantha Ann Luer | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-06-08 |
| 1013221415 | Rachel Carolyn Collier | Podiatrist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2010-07-28 |
| 1043522295 | Ryan R Reinking | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2010-07-03 |
| 1508949348 | James Nhiakao Vang | Podiatrist | 225 University Ave W, Ste 126, Saint Paul, MN 55103-3907 | 2006-10-23 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on TROY J BOFFELI.
| 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.