NPIMap

Organization Active NPI

On-Site Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Coon Rapids, MN
National Provider Identifier
1811396393
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
750 Issued in MN
Legal business name
ON-SITE PODIATRY
Practice address
3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone
(952) 926-3566
Fax
(763) 422-9640
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Mr. Mark D Fincham, MBA
Title
President
Phone
(952) 929-2068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 750 MN Primary

Addresses

Primary practice location

3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518

Mailing address

5201 Eden Ave
50
Edina, MN 55436-2316
Phone (763) 545-7545

Other names 1

  • Pinnacle Foot & Ankle Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

5201 Eden Ave
Ste 130
Edina, MN 55436
Phone (952) 929-2060

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1811396393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE",
            "address_2": "50",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362316",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332518",
            "telephone_number": "952-926-3566",
            "fax_number": "763-422-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "FINCHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-929-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Foot & Ankle Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.