MINNESOTA ORTHOPEDICS PA (NPI# 1457385346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457385346 |
| Entity Type | Organization |
| Organization Name | MINNESOTA ORTHOPEDICS PA |
| Practice Address |
6490 Excelsior Blvd Ste W417 Meadowbrook Medical Building St Louis Park MN 55426-4705 |
| Practice Telephone | 9529252388 |
| Practice Fax Number | 9529250743 |
| Mailing Telephone | 9529252388 |
| Mailing Fax Number | 9529250743 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL ALLEN CEDERBERG (PRESIDENT) |
| Authorized Official Telephone | 9529522388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED ONE CORPORATE | 0R0607 | 01 | |
| MN | BLUE CROSS BLUE SHIELD | 3D553MI | 01 |
| Street Address |
6490 EXCELSIOR BLVD STE W417 MEADOWBROOK MEDICAL BUILDING |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516817 | Allyson M Hayward | Social Worker | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2005-11-29 |
| 1043451040 | Kristen Cecile Kading | Pharmacist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2009-03-20 |
| 1275779902 | Andrea Arvold | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-12-31 |
| 1609040856 | Urology Associates, Ltd | Urology | 6490 Excelsior Blvd, Suite E202, St Louis Park, MN 55426-4705 | 2008-04-18 |
| 1154591683 | Sharon M Johnson | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-03-12 |
| 1023206935 | Tamara A Johnson | Physician Assistant | 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426-4705 | 2007-10-05 |
| 1699965319 | Anna Pasternak Levine | Advanced Practice Midwife | 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 | 2007-07-30 |
| 1578627717 | Arlene R Lutenegger | Psychologist | 6490 Excelsior Blvd, Suite W505, St Louis Park, MN 55426 | 2006-12-21 |
| 1710040209 | Burrel H Deaton | Dermatology | 6490 Excelsior Blvd, Suite W406, St Louis Park, MN 55426 | 2006-12-18 |
| 1689741670 | Susan Aleta Cleaveland | Physical Therapist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093042855 | Christine M Pui | Orthopaedic Surgery | 3931 Louisiana Ave S Ste 400, Park Nicollet Orthopedics - Meadowbrook, St Louis Park, MN 55426-4375 | 2009-11-14 |
| 1336187772 | Paul Allen Cederberg | Orthopaedic Surgery | 6490 Excelsior Boulevard, Suite W417 Meadowbrook Medical Building, St Louis Park, MN 55426-4705 | 2006-06-04 |
| 1841589736 | Michael William Davis | Orthopaedic Surgery | 5100 Gamble Dr, Suite 540, St Louis Park, MN 55416-1521 | 2011-03-31 |
| 1578651774 | Timothy Aaron Gabrielsen | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-10-11 |
| 1407897424 | Stephen Edward Barron | Orthopaedic Surgery | 6490 Excelsior Boulevard, Minnesota Orthopedics Pa Ste W417 Meadowbrook Med Bldg, St Louis Park, MN 55426-4705 | 2006-06-09 |
| 1114968534 | Stephen P England | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-06-09 |
| 1548222482 | Lisa Ruth Wasserman | Orthopaedic Surgery | 3931 Louisiana Ave S, Suite 400e, St Louis Park, MN 55426-5000 | 2006-04-05 |
| 1477529428 | Patrick Edward Hurley | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-02-28 |
| 1679550693 | Gregg Strathy | Orthopaedic Surgery | 3931 Louisiana Ave S, Ste E400, St Louis Park, MN 55426-4375 | 2005-12-30 |
| 1760467393 | David G Klock | Orthopaedic Surgery | 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426-4705 | 2005-12-07 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.