Maplewood Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MAPLEWOOD PODIATRY, LLC

Practice address

1940 Greeley St S
Suite 122
Stillwater, MN 55082-5097

Phone

(651) 439-5278

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Simone Jr., DPM

Title

Owner

Phone

(651) 439-5278

Specialties & licenses 1

Addresses

Other names 1

• Foot Care Clnic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• On-Site Podiatry, Inc

  • Foot & Ankle Surgery Podiatrist
  • Edina, MN
  • NPI 1538506969

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1598095093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N",
            "address_2": "SUITE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551095136",
            "telephone_number": "651-439-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GREELEY ST S",
            "address_2": "SUITE 122",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825097",
            "telephone_number": "651-439-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-439-5278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Care Clnic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mollie Katherine Malaney, M.D.
• Amanda Nicole Maloney, MSW, LICSW
• Demi Rose Mancini, LPCC
• Alexis Jordan Mandery, OD
• William Michael Manzel, DO
• Kate Maresh, DPT
• Christine Kay Markus, M.D.
• Jessica Rae Marquardt, AUD
• Rachel Marshall, M.S., CCC-SLP
• Marissa Martin

• Foot & Ankle Surgery Podiatrist in Stillwater, MN
• Providers in Stillwater, 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 Aug 14, 2015; 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.