FOOT & ANKLE CLINIC, LLC (NPI# 1780171165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780171165 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CLINIC, LLC |
| Practice Address |
2768 Superior Dr Nw Ste B Rochester MN 55901-8394 |
| Practice Telephone | 5072821053 |
| Practice Fax Number | 5072821384 |
| Mailing Telephone | 5072821053 |
| Mailing Fax Number | 5072821384 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | DR. STEPHEN EDWARD PANETTA (OWNER) |
| Authorized Official Telephone | 5072821053 |
| 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 |
479 | MN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437635042 | Foot & Ankle Clinic, LLC | Podiatrist | 777 E William St Ste 204, Carson City, NV 89701-4058 | 2018-07-17 |
| Street Address |
2768 SUPERIOR DR NW STE B |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-8394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1770710683 | Katrina Jeanne Manos | Podiatrist | 2236 Ridge Rd W., Rochester, NY 14626-2804 | 2009-06-18 |
| 1336272517 | Stephen Edward Panetta | Podiatrist | 2768 Superior Drive Nw, Rochester, MN 55901 | 2007-03-14 |
| 1518054485 | Metro Footcare Associates L.l.p. | Podiatrist | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2006-10-10 |
| 1053417014 | Genesee Valley Podiatry LLP | Podiatrist | 500 W Whitney Road, Rochester, NY 14621-3064 | 2006-09-16 |
| 1942243993 | Kevin D Lind | Podiatrist | 210 9th St Se Ste 1, Rochester, MN 55904-6400 | 2006-06-14 |
| 1598718017 | Massimo Pietrantoni | Podiatrist | 382 White Spruce Blvd, Rochester, NY 14623-1604 | 2006-05-18 |
| 1902863863 | Louis J Tallo | Podiatrist | 2225 S Clinton Ave, Rochester, NY 14618-2623 | 2006-04-26 |
| 1386606630 | Joseph Larry Carbone | Podiatrist | 490 Titus Ave, Rochester, NY 14617-3541 | 2006-04-03 |
| Find all providers in ROCHESTER | ||||
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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.