WESTERN ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, P.A. (NPI# 1548225402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548225402 |
| Entity Type | Organization |
| Organization Name | WESTERN ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, P.A. |
| Practice Address |
490 S Maple St Waconia MN 55387-1760 |
| Mailing Address |
7261 Ohms Ln Edina MN 55439-2148 |
| Practice Telephone | 9524426525 |
| Practice Fax Number | 9524426526 |
| Mailing Telephone | 9524426525 |
| Mailing Fax Number | 9524426526 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. D DANIEL ROTENBERG (PARTNER) |
| Authorized Official Telephone | 9524426525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1464 | MN | Other Service Providers |
| Street Address |
490 S MAPLE ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789053 | Paul W Sperduto | Radiology | 490 S Maple St, # 117, Waconia, MN 55387-1760 | 2005-09-02 |
| 1346682473 | Roxy Exner | Nurse Practitioner | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2013-07-17 |
| 1770726671 | Ridgeview Clinics | Internal Medicine | 490 S Maple St, Suite 204, Waconia, MN 55387-1760 | 2009-04-08 |
| 1891969044 | Urology Associates, Ltd. | Urology | 490 S Maple St, Suite 204, Waconia, MN 55387-1760 | 2008-04-18 |
| 1225249881 | Ridgeview Clinics | Internal Medicine | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2007-05-25 |
| 1912015942 | John W Meccia | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
| 1497863401 | John W Larsen | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
| 1033173331 | Total Renal Care Inc | Clinic/Center | 490 S Maple St, Suite 110, Waconia, MN 55387-1760 | 2006-04-13 |
| 1184691826 | Ravi Vaela | Internal Medicine | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.