Foot & Ankle Clinics PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

473 Issued in MN

Legal business name

FOOT & ANKLE CLINICS PA

Practice address

563 Bielenberg Dr
Suite 150
Woodbury, MN 55125-4425

Phone

(218) 365-2570

Fax

(218) 365-2570

NPI assigned

Jun 7, 2006

Last updated

May 2, 2008By 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. Jeffrey Craig Pellersels, DPMNPI 1790730380

Title

Owner

Phone

(651) 457-4665

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Jeffrey Craig Pellersels, DPM

  • Podiatrist
  • Woodbury, MN
  • NPI 1790730380
  Medicare reassignment Care Compare group NPD Authorized official
• Russell Hill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodbury, MN
  • NPI 1093336554
  Medicare reassignment Care Compare group NPD
• Kristen Marie Sigurdson, DPM

  • Podiatrist
  • Sartell, MN
  • NPI 1225002942
  NPD (past)
• Scott Adam Weiss, MD

  • Sports Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1043352982
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1801836234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BIELENBERG DR",
            "address_2": "SUITE 150",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254425",
            "telephone_number": "218-365-2570",
            "fax_number": "218-365-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BIELENBERG DR",
            "address_2": "SUITE 150",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254425",
            "telephone_number": "218-365-2570",
            "fax_number": "218-365-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "PELLERSELS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-457-4665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43214500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944325800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43240800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Floyd, MD
• Patrick J Flynn, M.D.
• Troy Fochs, PT, DPT
• Heather Foerster-Bach, OT
• Scott Folland, PA-C
• Kelsey E Forbes
• Jennifer Kay Ford, OTR/L
• Forefront Dermatology, S.C.
• Cailin Elise Forsythe, CNP
• Paula Fortin, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.