Instep Foot Clinc, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

540 Issued in MN

Legal business name

INSTEP FOOT CLINC, P.A.

Practice address

4625 Churchill St
Suite 201
Shoreview, MN 55126-5868

Phone

(651) 766-9614

Fax

(952) 929-3358

NPI assigned

Dec 31, 2007

Last updated

Nov 4, 2009By 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. Gerard James Busch, D.P.M.

Title

President

Phone

(651) 766-9614

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Instep Foot Clinc PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Instep Foot Clinic, P.a.

  • Podiatrist
  • Arlington, MN
  • NPI 1558546200
  NPD tax ID

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1659556306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 201",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "651-766-9614",
            "fax_number": "952-929-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTEP FOOT CLINC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-766-9614",
        "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": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633818600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Husfeldt, MS, CCC-SLP
• Ayub Hussain
• Hodan Adan Hussien
• Margaret Jean Hustad, MD
• Infinite Health Collaborative, PA
• Kyra Ischer, APRN
• Ann Elisabeth Ivey, D.C.
• Dana Nassir Jama
• Yasmin Nassir Jama
• Vaughn Robert Jefferson Jr., PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.