RANGE PODIATRIC CARE PA NPI 1194846782

NPI Information

  • NPI: 1194846782
  • Provider Name: RANGE PODIATRIC CARE, PA
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 809 N 6TH AVE
    NORTHGATE PLAZA
    VIRGINIA, MN
    ZIP 55792
  • Phone: (218) 749-3818

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NPI Details

RANGE PODIATRIC CARE, PA is a podiatrist in Virginia, 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. RANGE PODIATRIC CARE, PA NPI is 1194846782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

809 N 6TH AVE
NORTHGATE PLAZA
VIRGINIA, MN
ZIP 55792-308
Phone: (218) 749-3818
Fax: (218) 749-3874

The provider's authorized official is John Tyler Garner .
The authorized official title is Owner and has the following contact phone number (218) 744-1961.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/28/2011.

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
1213E00000XPodiatrist774MINNESOTAYes

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
1480000590MEDICAIDMINNESOTA
2T11158MEDICARE UPINMINNESOTA

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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