Nicholas Staub
Podiatrist | 7+ years Exp
Medicare Enrolled
6625 Lyndale Ave S Ste 105, Richfield
Minnesota, 55423-2673
612-200-8029 Maps & DirectionsNicholas Staub is a Richfield, Minnesota based podiatrist with 7 years of experience in Podiatry. He completed his graduation from Des Moines University Of Osteopathic Medicine And Health Sciences in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicholas Staub for Podiatry is 1091 in Minnesota.
Nicholas Staub is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Nicholas Staub speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Experience: | 7+ years |
| Medical School Attended: | Des Moines University Of Osteopathic Medicine And Health Sciences |
| Graduation Year: | 2018 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6625 Lyndale Ave S Ste 105, Richfield, Minnesota, 55423-2673 |
| Phone: | 612-200-8029 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8921404690 |
| Enrollment ID: | I20210903000541 |
| NPI Number: | 1790274066 |
| NPI Enumeration Date: | 02 May, 2018 |
| NPI Last Update On: | 23 Aug, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Staub are as mentioned below.
| License Number | Specialization | State | Status | |
| 1091 | Podiatry | Minnesota | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicholas Staub is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Active Feet, Foot And Ankle Health Center (1254401300) | 13 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6625 Lyndale Ave S Ste 300, Richfield, Minnesota |
| Zip: | 55423-2491 |
| Phone Number: | 612-788-8778 |
| Fax Number: | 612-869-3473 |
Patients can reach Nicholas Staub at
6625 Lyndale Ave S Ste 105, Richfield, Minnesota or can
call to book an appointment on 612-200-8029.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.