Foot & Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

479 Issued in MN

Legal business name

FOOT & ANKLE CLINIC, LLC

Practice address

2768 Superior Dr NW Ste B
Rochester, MN 55901-8394

Phone

(507) 282-1053

Fax

(507) 282-1384

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Edward Panetta, DPMNPI 1336272517

Title

Owner

Phone

(507) 282-1053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Stephen Edward Panetta, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rochester, MN
  • NPI 1336272517
  Medicare reassignment NPD Authorized official
• Laura M Buehler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rochester, MN
  • NPI 1346603701
  Medicare reassignment NPD

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1780171165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 SUPERIOR DR NW STE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018394",
            "telephone_number": "507-282-1053",
            "fax_number": "507-282-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 SUPERIOR DR NW STE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018394",
            "telephone_number": "507-282-1053",
            "fax_number": "507-282-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "PANETTA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-282-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Fong, PHD
• Wee Kim Fong
• Fiona D Fonseca, MD, MS
• Rodrigo Fonseca, MD
• Garrett Fooshee, PA-C
• Robert L Foote, M.D.
• Forat Home Care Inc.
• Glenn S Forbes, M.D.
• Maureen Forbrook, ATC
• Dennis J Forcelle, CRNA

• Foot & Ankle Surgery Podiatrist in Rochester, MN
• Providers in Rochester, 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 Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.