DOWNTOWN SKYWAY FOOT SPECIALISTS INC NPI 1053392027

NPI Information

NPI: 1053392027
Provider Name: DOWNTOWN SKYWAY FOOT SPECIALISTS INC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
825 NICOLLET MALL
SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 332-7720
Get Directions

DOWNTOWN SKYWAY FOOT SPECIALISTS INC is a foot surgery podiatrist in Minneapolis, MN. DOWNTOWN SKYWAY FOOT SPECIALISTS INC NPI is 1053392027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 NICOLLET MALL
SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN
ZIP 55402-606
Phone: (612) 332-7720
Fax: (612) 333-8981

The provider's authorized official is William Bolin Lockner .
The authorized official title is Owner and has the following contact phone number (612) 332-7720.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 8/10/2012.

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
1	213ES0131X	Podiatrist	Foot Surgery	359	MINNESOTA	Yes

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
1	5254910001	MEDICARE NSC	MINNESOTA
2	C03731	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	165613	OTHER	MINNESOTA	UCARE
4	DC5459	OTHER	MINNESOTA	RAILROAD MEDICARE
5	102943	OTHER	MINNESOTA	HEALTHPARTNERS
6	2728357	OTHER	MINNESOTA	MEDICA
7	768181046629	OTHER	MINNESOTA	PREFERRED ONE
8	10074LO	OTHER	MINNESOTA	BLUECROSSBLUESHIELD
9	062096300	MEDICAID	MINNESOTA
10	535942	OTHER	MINNESOTA	AMERICA'S PPO

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: 11/14/2023

NPI Synchronization or Removal

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