CAMBRIDGE FOOT AND ANKLE CLINIC LLC


Address: 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855
Phone: 7636892183

CAMBRIDGE FOOT AND ANKLE CLINIC LLC (NPI# 1750627048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750627048
Entity Type Organization
Organization Name CAMBRIDGE FOOT AND ANKLE CLINIC LLC
Practice Address 1001 1st Ave E Ste 180
Cambridge
MN 55008-1855
Practice Telephone 7636892183
Practice Fax Number 7636896532
Mailing Telephone 7636892183
Mailing Fax Number 7636896532
Enumeration Date 2012-12-14
Last Update Date 2013-02-21
Authorized Official Name DR. RICHARD BRUCE GRAHAM (OWNER)
Authorized Official Telephone 7636892183
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
303 MN Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 1001 1ST AVE E STE 180
City CAMBRIDGE
State MN
Zip Code 55008-1855

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1962712638 Joy Marie Morlock Counselor 32393 Rendova Circle Ne, Cambridge, MN 55008 2010-10-15
1386966166 Stacie Mix Massage Therapist 807 Main St North, Cambridge, MN 55008 2010-02-22
1538491261 Kristin Peltz Massage Therapist 807 Main St N, Cambridge, MN 55008 2010-02-05
1831324979 Michelle Lynn Preuss Varsoke Dietitian, Registered 701 S Dellwood St, Cambridge, MN 55008 2009-05-19
1659590024 Jennifer Ellen Norberg Physical Therapist 701 South Dellwood Street, Cambridge, MN 55008 2007-04-24
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689656472 Yena H Do Podiatrist 2211 Massachusetts Ave, Suite 1, Cambridge, MA 02140-1211 2005-11-17
1942839170 Anna Kakizaki Podiatrist 1493 Cambridge St, Cambridge, MA 02139-1047 2020-04-08
1679102800 Madison Ravine Podiatrist 1493 Cambridge St, Cambridge, MA 02139-1047 2020-04-08
1972024255 Najwah Hayman Podiatrist 1493 Cambridge St, Cambridge, MA 02139-1047 2017-06-27
1528419298 Joel Ang Podiatrist 1493 Cambridge St, Cambridge, MA 02139-1047 2016-06-23
1134580004 Kevin Thomas Dpm PC Podiatrist 300 Aurora St, Cambridge, MD 21613-2410 2016-03-18
1982070173 Crimson Foot and Ankle Specialists, LLC Podiatrist 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 2015-08-11
1346616521 Kevin Thomas Dpm PC Podiatrist 300 Aurora St, Cambridge, MD 21613-2410 2015-08-11
1225443435 Priya Anand Podiatrist 1493 Cambridge St, Cambridge, MA 02139-1047 2014-06-25
1770830218 Shelby Blair Hyllengren Podiatrist 701 Dellwood St S, Cambridge, MN 55008-1920 2012-08-14
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City CAMBRIDGE
Zip Code 55008

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Dataset Information

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.

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