On-Site Podiatry, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

750 Issued in MN

Legal business name

ON-SITE PODIATRY, INC

Doing business as

Pinnacle Foot And Ankle Clinics

Practice address

1805 Hennepin Ave N
Glencoe, MN 55336-1416

Phone

(952) 890-4061

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent A Simone Jr., DPM

Title

President

Phone

(763) 545-7545

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Foot And Ankle Clinics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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. (Pin Drop Hearing)
• 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

• Foot & Ankle Surgery Podiatrist in Glencoe, MN
• Providers in Glencoe, MN by specialty
• 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.