ON-SITE PODIATRY, INC (NPI# 1003238700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003238700 |
| Entity Type | Organization |
| Organization Name | ON-SITE PODIATRY, INC |
| Other Organization Name | PINNACLE FOOT AND ANKLE CLINICS |
| Practice Address |
1805 Hennepin Ave N Glencoe MN 55336-1416 |
| Mailing Address |
5201 Eden Ave Suite 50 Edina MN 55436-2316 |
| Practice Telephone | 9528904061 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | DR. VINCENT A SIMONE JR. (PRESIDENT) |
| Authorized Official Telephone | 7635457545 |
| 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 |
750 | MN | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Pinnacle Foot And Ankle Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538506969 | On-site Podiatry, Inc | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2013-05-24 |
| Street Address |
1805 HENNEPIN AVE N |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647822 | Robert A Larter | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-08-30 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1750899209 | Lindsay Jo Mccain | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2018-01-18 |
| 1265951339 | Logan Becker | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2017-09-11 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| 1477938058 | Abigail Frericks Bennett | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-07-24 |
| 1619357167 | Michele Schuberg | Nurse Practitioner | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-05-30 |
| 1225435746 | Jennifer Keltgen | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1134526650 | Kelsey Nowak | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1396142089 | Jennifer Keenan | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1417149113 | Bryan James Fritsch | Internal Medicine | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2007-08-16 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376718031 | Midwest Foot & Ankle Specialists, LLC | Podiatrist | 705 18th St E, Glencoe, MN 55336-1432 | 2008-04-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.