Northland Foot & Ankle Specialists

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NORTHLAND FOOT & ANKLE SPECIALISTS

Practice address

2221 Ford Parkway
Suite 350
St Paul, MN 55116

Phone

(651) 698-8879

Fax

(651) 698-7243

NPI assigned

May 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Phelps Whittaker, DPMNPI 1154566396

Title

Ceo

Phone

(651) 698-8879

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Highland Foot & Ankle Clinic Doing business as

Tax ID family

Highland Foot and Ankle Clinic2 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.

• Northland Foot and Ankle Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Saint Paul, MN
  • NPI 1760618011
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9872/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Sarah Phelps Whittaker, D.P.M.

  • Podiatrist
  • Saint Paul, MN
  • NPI 1154566396
  NPD Authorized official

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1750609772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 FORD PARKWAY",
            "address_2": "SUITE 350",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 FORD PARKWAY",
            "address_2": "SUITE 350",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PHELPS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-698-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "797",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760618011",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Dental, P.a.
• Northern Medical Supply Co.
• Northern Stars Home Care LLC
• Northland Dental Partners, PLLC
• Northland Dental Partners, PLLC
• Northland Foot and Ankle Specialists, P.C.
• Northland Hearing Centers, Inc
• Northlight Neuropsychology PLLC
• Bradley Vernon Northrup, D.C.
• Elizabeth Anne Northrup, LICSW

• Customized Equipment (DME) in St Paul, MN
• Providers in St Paul, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.