Organization Active NPI

Asg Onsite Podiatry of MN 1 PC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1346590890
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ASG ONSITE PODIATRY OF MN 1 PC
Practice address
10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728
Phone
(773) 770-0140
Fax
(312) 277-6757
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Yev Gray, DPMNPI 1821006396
Title
President/Ceo
Phone
(773) 770-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728

Mailing address

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728
Phone (773) 770-0140

National Provider Directory

National Provider Directory

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

1401 15th Ave NW
#1
Austin, MN 55912
Phone (507) 396-0085

103 School St
Belgrade, MN 56312
Phone (320) 254-8215

1633 Delton Ave NW
Bemidji, MN 56601
Phone (218) 444-1745

2501 Greenwood St SW
Brainerd, MN 56401
Phone (218) 825-9364

2517 Greenwood St SW
Brainerd, MN 56401
Phone (218) 825-9090

406 Highway 71 E
Clarissa, MN 56440
Phone (218) 756-3636

200 W Conan St
Ely, MN 55731
Phone (218) 365-8043

421 Kennedy Memorial Dr
Hoyt Lakes, MN 55750
Phone (218) 225-0176

601 West St
Jackson, MN 56143
Phone (507) 847-3100

110 S Walnut Ave
Luverne, MN 56156
Phone (507) 283-2375

2810 2nd Ave N
Moorhead, MN 56560
Phone (218) 233-7578

300 Village Center Dr
North Oaks, MN 55127
Phone (651) 482-8111

2175 White Pine Point Rd SW
Pine River, MN 56474
Phone (218) 587-4333

518 Jefferson Ave
Pine River, MN 56474
Phone (218) 587-4423

673 Brianna Dr
Sartell, MN 56377
Phone (320) 281-3343

800 Memorial Dr
Spring Valley, MN 55975
Phone (507) 346-7381

123 Baken St
Thief River Falls, MN 56701
Phone (218) 681-1675

405 E Frazee Ave
Vergas, MN 56587
Phone (218) 334-4501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1346590890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASG ONSITE PODIATRY OF MN 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YEV",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.