On-Site Podiatry, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

750 Issued in MN

Legal business name

ON-SITE PODIATRY, INC.

Practice address

7600 France Ave S Ste 1100
Edina, MN 55435-5924

Phone

(763) 545-7545

Fax

(952) 929-2067

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark D Fincham, MBA

Title

President

Phone

(952) 929-2068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1598039745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Eden Ave",
            "address_2": "Suite 50",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554362316",
            "country_code": "US",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Eden Ave",
            "address_2": "Suite 50",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554362316",
            "country_code": "US",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON-SITE PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FINCHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-929-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Edina, MN
• Providers in Edina, 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 Mar 17, 2018; 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.