ACTIVE FEET , FOOT & ANKLE HEALTH CENTER (NPI# 1932493350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932493350 |
| Entity Type | Organization |
| Organization Name | ACTIVE FEET , FOOT & ANKLE HEALTH CENTER |
| Other Organization Name | MIDWEST PODIATRY CENTERS COTTAGE GROVE |
| Practice Address |
7501 80th St S Cottage Grove MN 55016-3020 |
| Mailing Address |
7430 80th St S Suite 104 Cottage Grove MN 55016-3035 |
| Practice Telephone | 6514599171 |
| Mailing Telephone | 6127888778 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. BRYAN MOHR (OWNER) |
| Authorized Official Telephone | 6127980170 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 631 | MN | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Midwest Podiatry Centers Cottage Grove | Doing Business As Name - Organization |
| Street Address |
7501 80TH ST S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427097849 | Family Chiropractic Center of Cottage Grove Inc | Chiropractor | 7501 80th St S, #4, Cottage Grove, MN 55016-3020 | 2006-06-05 |
| 1992350367 | Kelly Jean Sweeney | Social Worker | 7501 80th St S, Cottage Grove, MN 55016-3020 | 2019-08-02 |
| 1689122442 | Pdg, Pa | Clinic/Center | 7501 80th St S, #214, Cottage Grove, MN 55016-3020 | 2016-09-21 |
| 1679881403 | Mindy Anne Bichel | Chiropractor | 7501 80th St S, Cottage Grove, MN 55016-3020 | 2010-09-14 |
| 1801068358 | Al M Virgen Dmd Pa | Dentist | 7501 80th St S, Suite 2, Cottage Grove, MN 55016-3020 | 2008-03-25 |
| 1730129677 | Craig Lyman Anshus | Chiropractor | 7501 80th St S, Cottage Grove, MN 55016-3020 | 2006-06-08 |
| 1750320370 | Gerard John Weingartner | Dentist | 7501 80th St S, Cottage Grove, MN 55016-3020 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467627125 | Midwest Foot & Ankle Specialists, LLC | Podiatrist | 7430 80th St S, Suite 104, Cottage Grove, MN 55016-3035 | 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 | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on ACTIVE FEET , FOOT & ANKLE HEALTH CENTER.
| 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.