Maplewood Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MAPLEWOOD PODIATRY

Practice address

2520 White Bear Ave N
Suite a
Maplewood, MN 55109-5136

Phone

(651) 770-3891

Fax

(651) 748-3117

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Simone Jr., DPM

Title

Owner

Phone

(651) 770-3891

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• On-Site Podiatry, Inc

  • Foot & Ankle Surgery Podiatrist
  • Edina, MN
  • NPI 1538506969

  Member Of

  NPD member

Locations

Practitioners 1

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

• Christopher M Phillips, DPM.

  • Foot & Ankle Surgery Podiatrist
  • White Bear Lake, MN
  • NPI 1891081386

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1912237652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N",
            "address_2": "SUITE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095136",
            "telephone_number": "651-770-3891",
            "fax_number": "651-748-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N",
            "address_2": "SUITE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095136",
            "telephone_number": "651-770-3891",
            "fax_number": "651-748-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-770-3891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maplewood Care Residence
• Maplewood Chiropractic Health Center PA
• Maplewood Dental Associates PA
• Maplewood Imaging Center LLC
• Maplewood Pediatric Dentistry PLLC
• Maplewood Podiatry Clinic, PA
• Maplewood Podiatry, LLC
• Maplewood Psychology P.a.
• Maplewood Rehabilitation Center LLC
• Maplewood Wellness Center of Minnesota

• All providers in Maplewood, MN
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.