GENERATIONS FOOT AND ANKLE CLINIC (NPI# 1780017442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780017442 |
| Entity Type | Organization |
| Organization Name | GENERATIONS FOOT AND ANKLE CLINIC |
| Practice Address |
3833 Coon Rapids Blvd Nw Coon Rapids MN 55433-2643 |
| Practice Telephone | 7634220233 |
| Mailing Telephone | 7634220233 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | SARAH P WHITTAKER (OWNER/PROVIDER) |
| Authorized Official Telephone | 6126700209 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
830 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3833 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529889 | Christine Kelley | Physician Assistant | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2643 | 2006-04-25 |
| 1700319977 | Kelly Jo Mcmartin | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-04-05 |
| 1114465135 | Sarah Karyn Myer | Nurse Practitioner | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-02-09 |
| 1750823753 | Mary A Reynolds | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-08 |
| 1366994527 | Tanya Marie Svenddal | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-03 |
| 1710330691 | Tyler Zillmer | Counselor | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2016-07-15 |
| 1568818557 | Stephanie Fish | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-05-09 |
| 1396102364 | Alice I Congdon | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-01-21 |
| 1134406200 | Christine Zwicky | Physician Assistant | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2011-11-03 |
| 1538325345 | Lyla Veen | Psychiatry & Neurology | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 | 2008-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534885 | Family Foot and Ankle Clinic, Pa | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | 2005-08-04 |
| 1922481761 | Christopher Aaron Neese | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433 | 2015-06-29 |
| 1811396393 | On-site Podiatry | Podiatrist | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2014-08-20 |
| 1497195226 | Keith A Canter | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | 2013-06-25 |
| 1114257656 | Nicole M Cullen | Podiatrist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2010-01-06 |
| 1578564092 | David Joseph Neese | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | 2005-08-09 |
| 1619978103 | Scott Bernard Saxe | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1114351376 | Katie R Evans | Podiatrist | 616 9th St N, Virginia, MN 55792-2320 | 2013-08-23 |
| 1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
| 1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
| 1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
| 1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
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| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on GENERATIONS FOOT AND ANKLE CLINIC.
| 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.