MEDICAL ARTS FOOT CLINICS, P. A. (NPI# 1710083837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710083837 |
| Entity Type | Organization |
| Organization Name | MEDICAL ARTS FOOT CLINICS, P. A. |
| Other Organization Name | NORTH SUBURBS PODIATRY |
| Practice Address |
3485 Willow Lake Blvd Suite 300 Saint Paul MN 55110-5152 |
| Practice Telephone | 6517658200 |
| Practice Fax Number | 6517658201 |
| Mailing Telephone | 6517658200 |
| Mailing Fax Number | 6517658201 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | DR. DALE HERBERT VANCIL (PRESIDENT) |
| Authorized Official Telephone | 6517658200 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
388 | MN | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| North Suburbs Podiatry | Doing Business As Name - Organization |
| Street Address |
3485 WILLOW LAKE BLVD SUITE 300 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55110-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700098613 | Winona Foot Clinic P.a. | Podiatrist | 350 East Sarnia Street, Winona, MN 55987 | 2007-05-04 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1205856713 | Dale Herbert Vancil | Podiatrist | 3485 Willow Lake Blvd., Suite 300, Lino Lakes, MN 55110-5152 | 2006-07-20 |
| 1639150774 | Otter Tail Podiatry Associates, P.a. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2005-11-07 |
| 1497145262 | David Edward Jones | Podiatrist | 5861 Cedar Lake Rd S, Minneapolis, MN 55416-1653 | 2015-01-30 |
| 1912271180 | Kari Prescott, D P M P A | Podiatrist | 825 Nicollet Mall, Suite 441, Minneapolis, MN 55402-2606 | 2012-03-05 |
| 1952612418 | Corey Edward Valentine | Podiatrist | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-06-29 |
| 1053639732 | Melanie Johnson | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110 | 2010-05-05 |
| 1154559144 | Conrad L Meints & Associate | Podiatrist | 324 W Superior St, Suite 517, Duluth, MN 55802-1760 | 2009-06-29 |
| 1588870703 | Central Minnesota Foot & Ankle Associates,pa | Podiatrist | 1545 Northway Dr, Suite 130, Saint Cloud, MN 56303-1940 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55110 |
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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.