JOHN WILLIAM CHEESEBRO D.P.M.
NPI 1144333667
Podiatrist in Plymouth, MN

Active since August 17, 2006
2805 CAMPUS DR STE 225, PLYMOUTH, MN 55441(612) 788-8778(612) 869-3473 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John William Cheesebro D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN WILLIAM CHEESEBRO D.P.M. (NPI 1144333667) is an individual podiatrist in Plymouth, Minnesota, licensed in Minnesota (366) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1144333667
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJOHN WILLIAM CHEESEBROCredential: D.P.M.
Location Address2805 CAMPUS DR STE 225Plymouth, MN 55441-2678
Mailing Address6625 Lyndale Ave S Ste 300Richfield, MN 55423-2491 · (612) 788-8778 · Fax (612) 869-3473
Fax(612) 869-3473
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 22, 2019
NPI 1144333667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MN · 366
Definition

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.

2805 CAMPUS DR STE 225, Plymouth, MN 55441

Other Identifiers 6

Medicaid323225500MN
Other0541840001MN · Administar Defense Id
Other271055MN · Medica Provider Id
Other411695192MN · Federal Tax Id
OtherHP13053MN · Healthpartners Provider #
Other11691MIMI · Bc/bs Provider Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
2805 CAMPUS DR STE 225
PLYMOUTH, MN 55441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Cheesebro's NPI number?

The NPI number for John Cheesebro is 1144333667. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is John Cheesebro located?

John Cheesebro practices at 2805 Campus Dr Ste 225, Plymouth, MN 55441. The listed phone number is (612) 788-8778.

What is John Cheesebro's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for John Cheesebro was last updated on July 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.