MINNESOTA FOOT AND ANKLE CLINIC P A (NPI# 1801865894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865894 |
| Entity Type | Organization |
| Organization Name | MINNESOTA FOOT AND ANKLE CLINIC P A |
| Practice Address |
1600 University Ave W Suite 19-c Saint Paul MN 55104-3825 |
| Practice Telephone | 6516467084 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. LOREN ERICKSON (PRESIDENT) |
| Authorized Official Telephone | 6516467084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
444 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1600 UNIVERSITY AVE W SUITE 19-C |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035616 | Jeffrey James Hansen | Psychologist | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2018-09-04 |
| 1811418346 | Cheri Ann Kuhn | Counselor | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2017-07-06 |
| 1013451657 | Lindsey Rae Benolken | Counselor | 1600 University Ave W, Ste 12, Saint Paul, MN 55104-3898 | 2016-12-16 |
| 1831649664 | Kristine Kaschmitter | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-10-05 |
| 1639626054 | Anna Ross | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-09-01 |
| 1972991354 | Tegist Ayalew | Nurse Practitioner | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2015-01-07 |
| 1609279157 | Lauren Kijewski | Specialist/Technologist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2014-09-29 |
| 1720488711 | Emily Yoon Penk-smith | Occupational Therapist | 1600 University Ave W, 10, Saint Paul, MN 55104-3898 | 2014-08-27 |
| 1447676572 | Passport Health Holdings, LLC. | Preventive Medicine | 1600 University Ave W, #207, Saint Paul, MN 55104 | 2014-03-13 |
| 1891086005 | Stefan A. Bailis | Psychologist | 1600 University Ave W, Suite 203, Saint Paul, MN 55104-3898 | 2011-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093375586 | Zachary Lubek | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2019-06-17 |
| 1659857654 | Abimbola Johnson | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-07-13 |
| 1588150825 | Collin Grant Messerly | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-07-10 |
| 1104310929 | Tyler Kenneth Sorensen | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-06-15 |
| 1548790611 | Elizabeth Finley Neubauer | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-06-12 |
| 1932638400 | Samantha Ann Luer | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-06-08 |
| 1013221415 | Rachel Carolyn Collier | Podiatrist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2010-07-28 |
| 1043522295 | Ryan R Reinking | Podiatrist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2010-07-03 |
| 1508949348 | James Nhiakao Vang | Podiatrist | 225 University Ave W, Ste 126, Saint Paul, MN 55103-3907 | 2006-10-23 |
| 1801862875 | Ryan Pfannenstein | Podiatrist | 435 Phalen Blvd, Saint Paul, MN 55130 | 2006-02-28 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MINNESOTA FOOT AND ANKLE CLINIC 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.