Foot and Ankle Physicians West P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

396 Issued in MN

Legal business name

FOOT AND ANKLE PHYSICIANS WEST P.A.

Practice address

7770 Dell Rd
Suite 140
Chanhassen, MN 55317-9314

Phone

(952) 934-9360

Fax

(952) 975-0118

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roy Roger Moeller, D.P.M.NPI 1225027378

Title

Owner/Physician

Phone

(952) 934-9360

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Roy Roger Moeller, D.P.M.

  • Podiatrist
  • Chanhassen, MN
  • NPI 1225027378
  NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1356487151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DELL RD",
            "address_2": "SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179314",
            "telephone_number": "952-934-9360",
            "fax_number": "952-975-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DELL RD",
            "address_2": "SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179314",
            "telephone_number": "952-934-9360",
            "fax_number": "952-975-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE PHYSICIANS WEST P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "952-934-9360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203525100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913525100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne K Farrell, PT, MED, CEEAA
• Molly Catherine Favour, MD
• Madeleinne Fern
• Kelly Fischer, OTR/L, COMT, CLT
• Joanna Shaw Flamm
• Forever Smiles Partners PLLC
• Gary Joseph Freitas, PH.D., LP
• Deana Annette Gaudreau, NP-C
• Corwin Gellner, PHARMD
• Morgan Giesen, PT

• Podiatrist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.