Central Minnesota Foot and Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

486 Issued in MN

Legal business name

CENTRAL MINNESOTA FOOT AND ANKLE PLLC

Practice address

2025 Stearns Way
Suite 105
Saint Cloud, MN 56303-4491

Phone

(320) 252-2963

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Rouw, D.P.M.NPI 1508847633

Title

Vice President

Phone

(320) 252-2963

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Gregory R. Rouw, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Cloud, MN
  • NPI 1508847633
  Medicare reassignment Care Compare group NPD Authorized official
• Karenthea W. Rouw, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Cloud, MN
  • NPI 1003897133
  Medicare reassignment Care Compare group NPD
• Yara Tinawi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brighton, MI
  • NPI 1588291900

  MN, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1285811612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-252-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-252-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "ROUW",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "320-252-2963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "486",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Imaging LLC (Alliance Imaging)
• Central Minnesota Anesthesia, LTD
• Central Minnesota Couseling Center, Inc.
• Central Minnesota Dementia Community Action Network
• Central Minnesota Foot & Ankle Associates,PA
• Central Minnesota Group Health, Inc (HealthPartners Sleep Health Center)
• Central Minnesota Group Health, Inc. (HealthPartners Sleep Health Center)
• Central Minnesota Mental Health Center
• Central Minnesota Mental Health Center (Northway Intensive Residential Treatment)
• Central Minnesota Mental Health Center (Focus XII)

• Foot & Ankle Surgery Podiatrist in Saint Cloud, MN
• Providers in Saint Cloud, 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 Feb 4, 2013; 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.