Range Foot & Ankle, PLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

908 Issued in MN

Legal business name

RANGE FOOT & ANKLE, PLC

Practice address

616 9TH St N
Virginia, MN 55792

Phone

(218) 749-3818

Fax

(218) 749-3874

NPI assigned

Jan 30, 2014

Last updated

Oct 5, 2018By 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

Katie R Evans, DPMNPI 1114351376

Title

Owner

Phone

(218) 749-3818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

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.

• Katie R Evans, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Virginia, MN
  • NPI 1114351376
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1205259041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922320",
            "telephone_number": "218-749-3818",
            "fax_number": "218-749-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-3818",
            "fax_number": "218-749-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE FOOT & ANKLE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-749-3818",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Przybylski
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• Quad Cities Therapy Center, LLC
• Range Development Company (Chestnut Grove)
• Range Family Dental LLC
• Range Medical Services
• Range Mental Health Center
• Range Mental Health Center Inc (Range Treatment Center)
• Range Mental Health Center Inc (Wellstone Center for Recovery)
• Range Mental Health Center Inc (Detox)

• Foot & Ankle Surgery Podiatrist in Virginia, MN
• Providers in Virginia, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.