Midwest Podiatry Centers PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

631 Issued in MN

Legal business name

MIDWEST PODIATRY CENTERS PLLC

Practice address

6600 Lyndale Ave S
Suite 150
Richfield, MN 55423-3380

Phone

(612) 788-8778

Fax

(612) 869-3473

NPI assigned

Jul 30, 2012

Last updated

Jul 30, 2012By 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

Bryan Lee Mohr, DPMNPI 1043215528

Title

Owner

Phone

(612) 788-8778

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Mohr, DPM

  • Podiatrist
  • Richfield, MN
  • NPI 1043215528
  Authorized official Same address or phone

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1013263821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "address_2": "SUITE 150",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "address_2": "SUITE 150",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PODIATRY CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-788-8778",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Miles
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• Sheila M Miller, LICSW
• Minneapolis Vamc

• Podiatrist in Richfield, MN
• Providers in Richfield, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.