St Cloud Foot & Ankle Center PA

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

ST CLOUD FOOT & ANKLE CENTER PA

Practice address

106 Doctors Park
St Cloud, MN 56303-1207

Phone

(320) 251-5444

Fax

(320) 656-9590

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Walter Nicholas Ellis, DPMNPI 1588625958

Title

Owner

Phone

(320) 251-5444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14770/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Nicholas Ellis, DPM

  • Podiatrist
  • St Cloud, MN
  • NPI 1588625958
  Medicare reassignment Care Compare group NPD Authorized official
• Ashton Nelsen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Cloud, MN
  • NPI 1629488382
  Medicare reassignment Care Compare group NPD
• David Patenaude

  • Foot & Ankle Surgery Podiatrist
  • Saint Cloud, MN
  • NPI 1558348557
  Medicare reassignment Care Compare group NPD
• Stephanie Ragan

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
  • NPI 1114480308
  Medicare reassignment Care Compare group NPD
• James Michael Renier, DPM

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
  • NPI 1922590298

  MN

  Medicare reassignment Care Compare group NPD
• Michael Dean O'Borsky, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Buffalo, MN
  • NPI 1053477406
  NPD (past)
• Keith Richard Anderson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hayward, WI
  • NPI 1902185051
  NPD (past)
• Bradley Richard Olson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fargo, ND
  • NPI 1871762997
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1083675458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DOCTORS PARK",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-251-5444",
            "fax_number": "320-656-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DOCTORS PARK",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-251-5444",
            "fax_number": "320-656-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD FOOT & ANKLE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-251-5444",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee I. Sprifke
• Mersadies St Andrew
• St Cloud Chiropractic
• St Cloud Eye Clinic PA
• St Cloud Family Dentistry
• St Cloud Hospital
• St Cloud Hospital
• St Cloud Hospital
• St Cloud Hospital
• St Cloud Medical Group PA

• Podiatric Clinic/Center in St Cloud, MN
• Providers in St Cloud, MN by specialty
• Podiatric Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.