On-Site Podiatry, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

750 Issued in MN

Legal business name

ON-SITE PODIATRY, INC.

Doing business as

Pinnacle Foot And Ankle Clinics

Practice address

12940 Harriet Ave S
Ste 230
Burnsville, MN 55337-2680

Phone

(952) 926-3566

Fax

(952) 426-0029

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Mark D Fincham, MBA

Title

President

Phone

(952) 929-2068

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Foot And Ankle Clinics Doing business as

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1962838706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE",
            "address_2": "SUITE 50",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362316",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S",
            "address_2": "STE 230",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-926-3566",
            "fax_number": "952-426-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "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_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 And Ankle Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tufah Omar
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• Zeynab A Omar, RN, BSN
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• Daniel Matthew Opitz, D.C.

• Foot & Ankle Surgery Podiatrist in Burnsville, MN
• Providers in Burnsville, 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 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.