ST. CLOUD PODIATRY CLINIC, P.A.
NPI 1679622237
Podiatrist in Saint Cloud, MN
NPI Status: Active since January 10, 2007
Contact Information
17 7TH AVE S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 253-7533
Fax: (320) 654-8718
- Organization
- Podiatrist
- CLIA Number: 24D2155168
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-24-2026
About ST. CLOUD PODIATRY CLINIC, P.A.
This page provides the complete NPI Profile along with additional information for St. Cloud Podiatry Clinic, P.a., a provider established in Saint Cloud, Minnesota operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1679622237 assigned on January 2007. The practitioner's primary taxonomy code is 213E00000X with license number MN315 (MN). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Stephen E Lore D.p.m. (President)
- NPI
- 1679622237
- Provider Name
- ST. CLOUD PODIATRY CLINIC, P.A.
- Entity Type
- Organization
- Location Address
- 17 7TH AVE S SAINT CLOUD, MN 56301
- Location Phone
- (320) 253-7533
- Location Fax
- (320) 654-8718
- Mailing Address
- 17 7TH AVE S SAINT CLOUD, MN 56301
- Mailing Phone
- (320) 253-7533
- Mailing Fax
- (320) 654-8718
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2007
- Last Update Date
- 10-22-2007
- Code Navigator
A podiatrist like St. Cloud Podiatry Clinic, P.a. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- MN315
- License State
- MN
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T65804 | MEDICARE UPIN (02) | MN | |
| 0271200001 | MEDICARE NSC (07) | MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2155168
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 25, 2024
- Certificate Expiration Date
- September 24, 2026
- Laboratory Director
- BENJAMIN ROSENBUSH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Cloud Podiatry Clinic, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679622237, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679622237, enumerated as an "organization" on January 10, 2007.
The provider is located at 17 7TH AVE S SAINT CLOUD, MN 56301 and the phone number is (320) 253-7533.
Podiatrist with taxonomy code 213E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
