Mark D. Homstad, D.P.M., P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

395 Issued in MN

Legal business name

MARK D. HOMSTAD, D.P.M., P.A.

Practice address

3308 W Arrowhead Rd
Duluth, MN 55811-4000

Phone

(218) 722-2008

Fax

(218) 727-2362

NPI assigned

Oct 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. Mark Dennis Homstad, D.P.M.NPI 1043289580

Title

President

Phone

(218) 722-2008

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Mark Dennis Homstad, D.P.M.

  • Podiatrist
  • Richfield, MN
  • NPI 1043289580
  NPD (past) Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1710166541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114000",
            "telephone_number": "218-722-2008",
            "fax_number": "218-727-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114000",
            "telephone_number": "218-722-2008",
            "fax_number": "218-727-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. HOMSTAD, D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "HOMSTAD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-722-2008",
        "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": "395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1710166541",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP LEGACY",
            "identifier": "C04106",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Tim Marble, MD
• Thomas Charles Marcroft, MD
• Sandra M Marden-Lokken
• Susan D Marinac
• Angela Tonee Marino, LCSW
• Daniel Lee Mark
• Lindsey Marie Markas, RDH, LDA
• Megan Elizabeth Markes, PA-C
• William Carson Markes, PA-C
• Elizabeth C Marks, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.