ACTIVE FEET, FOOT & ANKLE HEALTH CENTER (NPI# 1689848392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689848392 |
| Entity Type | Organization |
| Organization Name | ACTIVE FEET, FOOT & ANKLE HEALTH CENTER |
| Other Organization Name | MIDWEST PODIATRY CENTERS RICHFIELD |
| Practice Address |
6625 Lyndale Ave S Ste 105 Minneapolis MN 55423-2673 |
| Mailing Address |
6625 Lyndale Ave S Ste 300 Minneapolis MN 55423-2491 |
| Practice Telephone | 6127888778 |
| Practice Fax Number | 6128693473 |
| Mailing Telephone | 6127888778 |
| Mailing Fax Number | 6128693473 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. BRYAN L MOHR (OWNER) |
| Authorized Official Telephone | 6127980170 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2134 | MN | Eye and Vision Services Providers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 631 | MN | Suppliers |
| Y | 213E00000X | Podiatrist | 631 | MN | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Midwest Podiatry Centers Richfield | 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 |
| 1194158154 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | 2013-08-14 |
| Street Address |
6625 LYNDALE AVE S STE 105 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55423-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194158154 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | 2013-08-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1013977644 | Todd Arnold Shea | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2006-03-27 |
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1558893180 | Michelle Lynn Winder | Podiatrist | 701 Park Ave, Hennepin County Medical Center, Podiatry Department, Minneapolis, MN 55415-1623 | 2017-04-02 |
| 1063857985 | Erin A Roberson | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2013-05-06 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1972784668 | Calandra D Theisen | Podiatrist | 2600 39th Ave Ne, Suite 250, Minneapolis, MN 55421-4379 | 2007-11-21 |
| 1588856546 | Marlene Bonilla Alicea | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2007-08-14 |
| 1528287414 | Michael Alan Reid | Podiatrist | 2849 Johnson St Ne, Minneapolis, MN 55418-3055 | 2007-04-25 |
| 1053438648 | Advanced Foot Care Clinic,ltd | Podiatrist | 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402-2606 | 2007-03-26 |
| 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.