MAPLEWOOD PODIATRY LLC NPI 1023069259

NPI Information

  • NPI: 1023069259
  • Provider Name: MAPLEWOOD PODIATRY, LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Former Legal Business Name: MIDWEST FOOT & ANKLE SPECIALISTS
  • Address: 2520 WHITE BEAR AVE N
    SUITE A
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 770-3891

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NPI Details

MAPLEWOOD PODIATRY, LLC is a podiatrist in Maplewood, MN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MAPLEWOOD PODIATRY, LLC NPI is 1023069259. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Midwest Foot & Ankle Specialists.

The provider's business location address is:

2520 WHITE BEAR AVE N
SUITE A
MAPLEWOOD, MN
ZIP 55109-136
Phone: (651) 770-3891
Fax: (651) 748-3117

The provider's authorized official is Vince Simone .
The authorized official title is Owner and has the following contact phone number (651) 770-3891.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 5/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10708630001MEDICARE OSCAR/CERTIFICATIONMINNESOTA
20708630001MEDICARE NSCMINNESOTA
3156603200MEDICAIDMINNESOTA
4C02520MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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