MAPLEWOOD PODIATRY LLC NPI 1598095093

NPI Information

  • NPI: 1598095093
  • Provider Name: MAPLEWOOD PODIATRY, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: FOOT CARE CLNIC
  • CLIA Number: 24D2238250
  • Address: 1940 GREELEY ST S
    SUITE 122
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 439-5278

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NPI Details

MAPLEWOOD PODIATRY, LLC is a foot and ankle surgery podiatrist in Stillwater, MN. MAPLEWOOD PODIATRY, LLC NPI is 1598095093. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot Care Clnic.

The provider's business location address is:

1940 GREELEY ST S
SUITE 122
STILLWATER, MN
ZIP 55082-097
Phone: (651) 439-5278

The provider's authorized official is Vincent Simone .
The authorized official title is Owner and has the following contact phone number (651) 439-5278.

The CLIA number assigned to this NPI record is 24D2238250 - other - fire station with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 8/14/2015.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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=========OTHERMINNESOTAEIN
20708630005MEDICARE NSCMINNESOTA
3C02520MEDICARE 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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