Midwest Podiatry Centers Richfield | |
6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | |
(612) 788-8778 | |
(612) 869-3473 |
Full Name | Midwest Podiatry Centers Richfield |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 6625 Lyndale Ave S Ste 105, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689848392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2134 (Minnesota) | Secondary |
213E00000X | Podiatrist | 631 (Minnesota) | Primary |
335E00000X | Prosthetic/orthotic Supplier | 631 (Minnesota) | Secondary |
Provider Name | Dale Herbert Vancil |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205856713 PECOS PAC ID: 5395649578 Enrollment ID: I20031120000214 |
Provider Name | Mark D Homstad |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043289580 PECOS PAC ID: 2264346923 Enrollment ID: I20040329000357 |
Provider Name | Michael Debrule |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689655722 PECOS PAC ID: 4082695747 Enrollment ID: I20040527001000 |
Provider Name | Scott C Knutson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679578157 PECOS PAC ID: 3779528831 Enrollment ID: I20060425000406 |
Provider Name | Glenn R Meints |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1265514731 PECOS PAC ID: 2062512304 Enrollment ID: I20070716000272 |
Provider Name | Dana Brewington |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205933553 PECOS PAC ID: 5294735239 Enrollment ID: I20071018000104 |
Provider Name | Bryan Mohr |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043215528 PECOS PAC ID: 8527070937 Enrollment ID: I20080602000712 |
Provider Name | David Edward Jones |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639163405 PECOS PAC ID: 6507824778 Enrollment ID: I20110203001135 |
Provider Name | Eric W Affeldt |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225144850 PECOS PAC ID: 6709062698 Enrollment ID: I20110510000474 |
Provider Name | Mary E Jaeger |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1891129425 PECOS PAC ID: 4385867142 Enrollment ID: I20140523000225 |
Provider Name | Eric Nelson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184028193 PECOS PAC ID: 4880963628 Enrollment ID: I20170710002846 |
Provider Name | Karimah Z Shabazz |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134412802 PECOS PAC ID: 3577881697 Enrollment ID: I20180612000561 |
Provider Name | Todd Aaron Peabody |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1750720876 PECOS PAC ID: 9739471939 Enrollment ID: I20180731000630 |
Provider Name | Brent James Larson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659759082 PECOS PAC ID: 2062762479 Enrollment ID: I20180906000273 |
Provider Name | Lisa M Thatcher |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922450618 PECOS PAC ID: 2365785904 Enrollment ID: I20190522000663 |
Provider Name | Marlene Bonilla Alicea |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1588856546 PECOS PAC ID: 9436316817 Enrollment ID: I20190613000730 |
Provider Name | Darrick William Proehl |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629417506 PECOS PAC ID: 2365768504 Enrollment ID: I20191008000107 |
Provider Name | Kristofor Kalvig |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558898114 PECOS PAC ID: 9638595267 Enrollment ID: I20200813001683 |
Provider Name | Amanda Mcguire |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1124470745 PECOS PAC ID: 9335478015 Enrollment ID: I20210610002219 |
Provider Name | Nicholas Staub |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1790274066 PECOS PAC ID: 8921404690 Enrollment ID: I20210903000541 |
Provider Name | Tran Bao Nguyen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326600123 PECOS PAC ID: 7911389051 Enrollment ID: I20220805000281 |
Provider Name | Michael Lee Vallez |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1215440854 PECOS PAC ID: 5294106977 Enrollment ID: I20230116000981 |
Provider Name | John Matthew Thomas |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033471990 PECOS PAC ID: 9032417829 Enrollment ID: I20230831002859 |
Mailing Address | Practice Location Address |
---|---|
Midwest Podiatry Centers Richfield 6625 Lyndale Ave S Ste 300, Minneapolis, MN 55423-2491 Ph: (612) 788-8778 | Midwest Podiatry Centers Richfield 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 Ph: (612) 788-8778 |
Todd Arnold Shea, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 825 Nicollet Mall Ste 300, Minneapolis, MN 55402 Phone: 612-333-8883 | |
Downtown Skyway Foot Specialists Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 517 Medical Arts Bldg, Minneapolis, MN 55402 Phone: 612-332-7720 Fax: 612-333-8981 | |
Advanced Foot & Ankle Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402 Phone: 763-550-1013 Fax: 763-550-0615 | |
Dennis Jay Oeltjenbruns, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 952-946-9777 | |
Dr. Tanler Juris Volkmann, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3110 Fax: 612-863-3158 | |
Dr. Lisa Lee Cummings, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 Phone: 952-283-3162 Fax: 866-991-7241 | |
Dr. Gregory Todd Rifleman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Drive, Minneapolis, MN 55417 Phone: 612-467-4685 |