On-Site Podiatry, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

750 Issued in MN

Legal business name

ON-SITE PODIATRY, INC

Practice address

1805 Hennepin Ave N
Glencoe, MN 55336-1416

Phone

(952) 890-4061

NPI assigned

Jan 15, 2014

Organization subpart

No

Name

Dr. Vincent A Simone Jr., DPM

Title

President

Phone

(763) 545-7545

• Pinnacle Foot And Ankle Clinics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2014.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1003238700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE",
            "address_2": "SUITE 50",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HENNEPIN AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361416",
            "telephone_number": "952-890-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-545-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Foot And Ankle Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northland Hearing Centers, Inc.
• Kelsey Nowak, PT
• Barbara Oberlin, RN, BSN, PHN
• Brent Willard Olson, D.D.S.
• Laura Jean Olson, MD
• John Ostby, MA, LMFT
• Mitchell N Palmer, MD
• Bryan Tutt Petersen, MD
• Megan Irene Piehl, RN
• Emma Jayne Posch, PA-C

• All providers in Glencoe, MN
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.