RENEW FOOT & ANKLE LLC (NPI# 1821633967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821633967 |
| Entity Type | Organization |
| Organization Name | RENEW FOOT & ANKLE LLC |
| Practice Address |
1542 Golf Course Rd Ste 208 Grand Rapids MN 55744-3555 |
| Mailing Address |
8977 Cove Dr Ne Bemidji MN 56601-6427 |
| Practice Telephone | 2187606151 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | ERIC GILBERTSON (OWNER) |
| Authorized Official Telephone | 2187606151 |
| 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 |
| Street Address |
1542 GOLF COURSE RD STE 208 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679591226 | Eric K Gilbertson | Podiatrist | 1542 Golf Course Rd Ste 208, Grand Rapids, MN 55744-3555 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912318502 | Brianna M David | Podiatrist | 2144 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-6117 | 2014-05-16 |
| 1154460962 | Foot & Ankle Specialists of West Michigan P L L C | Podiatrist | 2144 E Paris Se, Ste 100, Grand Rapids, MI 49546 | 2007-02-06 |
| 1679591226 | Eric K Gilbertson | Podiatrist | 1542 Golf Course Rd Ste 208, Grand Rapids, MN 55744-3555 | 2006-07-18 |
| 1447281662 | Corwyn B Bergsma | Podiatrist | 1195 Wilson Ave Nw, Suite 200, Grand Rapids, MI 49534-6405 | 2006-07-05 |
| 1790714277 | Michael George David | Podiatrist | 2144 East Paris Ave Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-30 |
| 1679501290 | Patrick J Meyer | Podiatrist | 5175 Plainfield Drive N.e., Grand Rapids, MI 49525 | 2006-06-30 |
| 1023046844 | William Robert Decker | Podiatrist | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2006-06-29 |
| 1528094257 | Richard W Rozelle | Podiatrist | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2006-06-24 |
| 1023053436 | Timothy J Hulst | Podiatrist | 2144 E. Paris Ave. Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-19 |
| 1598760001 | Stephen D Harris | Podiatrist | 3260 Eagle Park Dr Ne, Suite 116, Grand Rapids, MI 49525-4569 | 2005-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on RENEW FOOT & ANKLE LLC.
| 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.