Organization Active NPI

Winona Family Foot Care, LTD

  • Podiatrist
  • Winona, MN
National Provider Identifier
1003991647
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
505 Issued in MN
Legal business name
WINONA FAMILY FOOT CARE, LTD
Practice address
111 Market St
Suite 3C
Winona, MN 55987-5532
Phone
(507) 452-0994
Fax
(507) 452-1072
NPI assigned
Oct 25, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Thomas R. Nachtigal, DPM
Title
Owner
Phone
(507) 452-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 505 MN Primary

Addresses

Primary practice location

111 Market St
Suite 3C
Winona, MN 55987-5532

Mailing address

111 Market St
Suite 3C
Winona, MN 55987-5532
Phone (507) 452-0994

Other identifiers 1

IdentifierTypeStateIssuer
114725100MedicaidMN

National Provider Directory

National Provider Directory

Locations

111 Market St
Ste 3C
Winona, MN 55987
Phone (507) 452-0994

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1003991647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 3C",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 3C",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-0994",
            "fax_number": "507-452-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA FAMILY FOOT CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "NACHTIGAL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-452-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114725100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.