Minnesota Foot and Ankle Clinic P a

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

444 Issued in MN

Legal business name

MINNESOTA FOOT AND ANKLE CLINIC P A

Practice address

1600 University Ave W
Suite 19-C
Saint Paul, MN 55104-3825

Phone

(651) 646-7084

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Loren EricksonNPI 1003885617

Title

President

Phone

(651) 646-7084

Specialties & licenses 1

Addresses

Locations

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.

• Loren Erickson

  • Foot & Ankle Surgery Podiatrist
  • Saint Paul, MN
  • NPI 1003885617
  Authorized official Same address or phone

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1801865894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 19-C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 19-C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043825",
            "telephone_number": "651-646-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA FOOT AND ANKLE CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-646-7084",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minnesota Home Care Provider Inc.
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• Foot & Ankle Surgery Podiatrist in Saint Paul, MN
• Providers in Saint Paul, 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 Jan 26, 2010; 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.