MAPLEWOOD PODIATRY (NPI# 1821328980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821328980 |
| Entity Type | Organization |
| Organization Name | MAPLEWOOD PODIATRY |
| Practice Address |
257 W Saint George Ave Grantsburg WI 54840-7827 |
| Mailing Address |
2520 White Bear Ave N Suite A Maplewood MN 55109-5136 |
| Practice Telephone | 7154685353 |
| Mailing Telephone | 6517703891 |
| Mailing Fax Number | 6517483117 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | DR. VINCENT SIMONE (OWNER) |
| Authorized Official Telephone | 6517703891 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912237652 | Maplewood Podiatry | Podiatrist | 2520 White Bear Ave N, Suite A, Maplewood, MN 55109-5136 | 2009-12-31 |
| Street Address |
257 W SAINT GEORGE AVE |
| City | GRANTSBURG |
| State | WI |
| Zip Code | 54840-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871576009 | Timothy P Vaughn | Nurse Anesthetist, Certified Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2005-11-22 |
| 1225635055 | Mary Frances Flaherty Baig | Nurse Practitioner | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2020-10-05 |
| 1649811035 | Nicholas John Stevens | Physical Therapy Assistant | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2019-10-07 |
| 1588155899 | Abigail R Anderson | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2018-05-22 |
| 1124578810 | Neelam S. Patel | Nurse Practitioner | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-10-06 |
| 1700331501 | Rhiannon Legarde | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-08-22 |
| 1336590066 | Brittany Stevens Pennings | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-06-23 |
| 1598130908 | Janelle R. Gomez | Dietitian, Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2015-12-10 |
| 1952702417 | Marie Sarra | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2014-09-15 |
| 1619393279 | Sarah Motl | Dietitian, Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2014-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679886618 | Maria Javaid | Internal Medicine | Shalamar Link Road, Lahore, Pakistan, Shalamar Institute of Health Sciences, Lahore, PUNJAB 54840 | 2010-07-20 |
| 1508949082 | Gary L Kaefer Dds Sc | Dentist | 302 South Pine St, Grantsburg, WI 54840 | 2006-10-20 |
| 1275544967 | Christopher John Witzany | Pharmacist | 122 W. Madison Ave., Grantsburg, WI 54840 | 2006-08-10 |
| 1821425927 | Nancy Yvette Longhenry | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2013-10-03 |
| 1639174980 | Bellicose International Inc. | Durable Medical Equipment & Medical Supplies | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2005-06-14 |
| 1528625985 | Bellicose International Inc. | Pharmacy | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2019-05-21 |
| 1407365166 | Taylor James Paap | Pharmacist | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2017-09-26 |
| 1063877421 | Richelle Christianson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-12-29 |
| 1952788945 | Lean On Me Home Care | In Home Supportive Care | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-04-29 |
| 1760896732 | Barbara Everson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2014-06-17 |
| Find all providers in zip 54840 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
| City | GRANTSBURG |
| Zip Code | 54840 |
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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.