MR. BRYAN MOHR (NPI# 1043215528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043215528 |
| Entity Type | Individual |
| Full Name | MR. BRYAN MOHR |
| Credential | DPM |
| Practice Address |
6625 Lyndale Ave S Ste 105 Richfield MN 55423-2673 |
| Mailing Address |
6625 Lyndale Ave S Ste 300 Richfield MN 55423-2491 |
| Practice Telephone | 6127888778 |
| Practice Fax Number | 6128693473 |
| Mailing Telephone | 6127888778 |
| Mailing Fax Number | 6128693473 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1164-25 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 631 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 148473700 | 05 | |
| MN | HEALTH PARTNERS | HP30542 | 01 |
| MN | BLUE CROSS | 54B22MO | 01 |
| MN | UCARE | 124307 | 01 |
| Street Address |
6625 LYNDALE AVE S STE 105 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
| 1013329077 | Kirsten Louise Daniels | Audiologist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 | 2014-05-27 |
| 1083962294 | In House Senior Services, LLC | Optometrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2012-08-17 |
| 1609179845 | Frank A Sheaffer | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2010-12-09 |
| 1346372125 | Deneen Marie Zaetta | Optometrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 | 2007-03-09 |
| 1912033366 | Marie A Guillaume | Audiologist-Hearing Aid Fitter | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2007-02-27 |
| 1679578157 | Scott Knutson | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427352087 | Doctors By Your Side | Podiatrist | 6600 Lyndale Av S, #120, Richfield, MN 55423-3398 | 2010-12-22 |
| 1386812261 | Blake O Zobell Dpm P C | Podiatrist | 81 East 900 North, Richfield, UT 84701-1857 | 2008-02-14 |
| 1720026560 | Blake O. Zobell | Podiatrist | 879 N Main St, Richfield, UT 84701-1840 | 2006-06-03 |
| 1255834628 | Rfc Holdings LLC | Podiatrist | 3871 Broadview Rd, Richfield, OH 44286-9596 | 2018-03-13 |
| 1750720876 | Todd Aaron Peabody | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2013-06-21 |
| 1013263821 | Midwest Podiatry Centers Pllc | Podiatrist | 6600 Lyndale Ave S, Suite 150, Richfield, MN 55423-3380 | 2012-07-30 |
| 1609179845 | Frank A Sheaffer | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2010-12-09 |
| 1225144850 | Eric Wayne Affeldt | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2006-08-23 |
| 1134155260 | Timothy J Szopa | Podiatrist | 407 W 66th St, Richfield, MN 55423-2304 | 2006-06-23 |
| 1679578157 | Scott Knutson | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2005-06-20 |
| Find all providers in RICHFIELD | ||||
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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.