Affiliated Foot and Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

License

366 Issued in MN

Legal business name

AFFILIATED FOOT AND ANKLE

Practice address

2805 Campus Dr Ste 225
Plymouth, MN 55441-2678

Phone

(763) 383-8808

Fax

(763) 383-6033

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By 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. John W Cheesebro, DPMNPI 1144333667

Title

President

Phone

(763) 383-8808

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• John William Cheesebro, D.P.M.

  • Podiatrist
  • Plymouth, MN
  • NPI 1144333667
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043317274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR #225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-383-8808",
            "fax_number": "763-383-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR STE 225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412678",
            "telephone_number": "763-383-8808",
            "fax_number": "763-383-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEESEBRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-383-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER ID",
            "identifier": "27-15055",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "11691MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNES PROV ID",
            "identifier": "HP13053",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic Health PA
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• Affiliated Eye Care LLC (Steven B. Robin MD)
• Affinity Hearing, LLC
• Affinity Medical Services Inc
• Alejandro Martin Aguirre, D.D.S.,M.S.
• Reanna Aguirre, DPT
• Jade Nicole Ahlstrand, MS, NCC, PILT, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.