Foot & Ankle Medical Clinic, P.a.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

681 Issued in MN

Legal business name

FOOT & ANKLE MEDICAL CLINIC, P.A.

Practice address

1504 White Bear Ave N
Saint Paul, MN 55106-1622

Phone

(651) 771-2513

Fax

(651) 771-2514

NPI assigned

Nov 21, 2006

Last updated

Feb 26, 2010By 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

Dr. Marc Paokou Yang, D.P.M.

Title

Owner

Phone

(651) 771-2513

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.

• Paokou Marcus Yang, DPM

  • Podiatrist
  • Saint Paul, MN
  • NPI 1346358371
  Medicare reassignment

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1538234364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061622",
            "telephone_number": "651-771-2513",
            "fax_number": "651-771-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061622",
            "telephone_number": "651-771-2513",
            "fax_number": "651-771-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "PAOKOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-771-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MN",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen E Fongemie, MD
• Shelby Michele Fonley, APRN CNM
• Kari Fonstad, LPC, LADC
• Annie M Fontaine, MD
• Gerard Bernard Foo, PHD LP
• Foot and Ankle Care Center, PA
• Foot Clinics LTD, P.a.
• Elizabeth Hawley Foot
• Greta Foote
• Jeanne Marie Forbes, LICSW

• Primary Podiatric Medicine Podiatrist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Primary Podiatric Medicine Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.