Downtown Skyway Foot Specialists Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

359 Issued in MN

Legal business name

DOWNTOWN SKYWAY FOOT SPECIALISTS INC

Practice address

825 Nicollet Mall
Suite 517 Medical Arts BLDG
Minneapolis, MN 55402-2606

Phone

(612) 332-7720

Fax

(612) 333-8981

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. William Bolin Lockner, DPM

Title

Owner

Phone

(612) 332-7720

Specialties & licenses 1

Addresses

Other identifiers 8

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1053392027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 517 MEDICAL ARTS BLDG",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-332-7720",
            "fax_number": "612-333-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 517 MEDICAL ARTS BLDG",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-332-7720",
            "fax_number": "612-333-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN SKYWAY FOOT SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "LOCKNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BOLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-332-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "102943",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "768181046629",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062096300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "165613",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2728357",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "535942",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "10074LO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5459",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa Marguerite Downs, MD MPH
• Downtown Dental Center PLLC (Holger Dental Group)
• Downtown Dental Professionals LLC
• Downtown Eyes Optometric PLLC
• Downtown Periodontics and Implant Dentistry
• Anna Elizabeth Dowson, LMFT
• Tara Katherine Doyle Bizily, MD
• Anita Doyle, MSW
• Colleen Doyle, PHD, LP
• Jennifer Therese Doyle, MSW

• Foot Surgery Podiatrist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Foot Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.