Organization Active NPI

Willmar Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Willmar, MN
National Provider Identifier
1790927077
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
570 Issued in MN
Legal business name
WILLMAR FOOT & ANKLE CLINIC
Practice address
502 2ND St SW
Willmar, MN 56201-3337
Phone
(320) 235-2544
Fax
(320) 231-8729
NPI assigned
Apr 1, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Barb A Frank
Title
Office Manager
Phone
(320) 235-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 570 MN Primary

Addresses

Primary practice location

502 2ND St SW
Willmar, MN 56201-3337

Mailing address

502 2ND St SW
Willmar, MN 56201-3337
Phone (320) 235-2544

National Provider Directory

National Provider Directory

Locations

502 2nd St SW
Willmar, MN 56201
Phone (320) 235-0762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1790927077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013337",
            "telephone_number": "320-235-2544",
            "fax_number": "320-231-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013337",
            "telephone_number": "320-235-2544",
            "fax_number": "320-231-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMAR FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "BARB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-235-2544"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.