MARK D. HOMSTAD, D.P.M., P.A. (NPI# 1710166541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710166541 |
| Entity Type | Organization |
| Organization Name | MARK D. HOMSTAD, D.P.M., P.A. |
| Practice Address |
3308 W Arrowhead Rd Duluth MN 55811-4000 |
| Practice Telephone | 2187222008 |
| Practice Fax Number | 2187272362 |
| Mailing Telephone | 2187222008 |
| Mailing Fax Number | 2187272362 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | DR. MARK DENNIS HOMSTAD (PRESIDENT) |
| Authorized Official Telephone | 2187222008 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 395 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NPI GROUP | 1710166541 | 01 |
| MN | GROUP LEGACY | C04106 | 01 |
| Street Address |
3308 W ARROWHEAD RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902872518 | Teresa F Theobald | Optometrist | 3308 W Arrowhead Rd, Duluth, MN 55811-4000 | 2006-02-23 |
| 1720173909 | Theobald Family Eye Care, LLP | Optometrist | 3308 W Arrowhead Rd, Duluth, MN 55811-4000 | 2006-10-04 |
| 1609842210 | Martin J Theobald | Optometrist | 3308 W Arrowhead Rd, Duluth, MN 55811-4000 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| 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 |
|---|---|---|---|---|
| 1972565828 | Curtis Allen Kristensen | Podiatrist | 324 West Superior St, Ste 408, Duluth, MN 55802 | 2006-04-05 |
| 1124093273 | Anthony M. Cutsuries | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3179 | 2006-02-22 |
| 1841690393 | A. Louis Jimenez Dpm PC | Podiatrist | 6610 Mcginnis Ferry Rd, Suite 200, Duluth, GA 30097-3524 | 2014-09-02 |
| 1619261989 | North Atlanta Pdoiatry Grp, PC | Podiatrist | 11459 Johns Creek Pkwy, Ste 260, Duluth, GA 30097-3515 | 2011-06-04 |
| 1891887311 | Village Podiatry Group, LLC. | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3186 | 2006-09-29 |
| 1699785956 | Kirsten Ann Moore | Podiatrist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-08-09 |
| 1427072487 | James Deegan | Podiatrist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-26 |
| 1215968979 | Brian Donald Neerings | Podiatrist | 3650 Steve Reynolds Blvd, Podiatry Dept, Duluth, GA 30096 | 2006-07-05 |
| 1609821495 | Boni-jo Silbernagel | Podiatrist | 400 East 3rd St, Duluth, MN 55805 | 2006-05-23 |
| 1073561437 | Robert W Nipp | Podiatrist | 324 W Superior St, Ste 408, Duluth, MN 55805 | 2006-05-05 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on MARK D. HOMSTAD, D.P.M., P.A..
| 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.