SUMMIT ORTHOPEDICS, LTD (NPI# 1568843621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568843621 |
| Entity Type | Organization |
| Organization Name | SUMMIT ORTHOPEDICS, LTD |
| Practice Address |
1400 Corporate Center Curv Eagan MN 55121-1373 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685201 |
| Practice Fax Number | 6519685900 |
| Mailing Telephone | 6519685675 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | JAMISON YOUNG (CFO) |
| Authorized Official Telephone | 6519685655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609664 | Summit Orthopedics, Ltd | Clinic/Center | 2620 Eagan Woods Drive Ste 200, Eagan, MN 55121-1466 | 2016-06-08 |
| 1164870895 | Summit Orthopedics, Ltd | Clinic/Center | 2620 Eagan Woods Drive Ste 300, Eagan, MN 55121-1466 | 2016-06-03 |
| 1841655156 | Summit Orthopedics, Ltd | Physical Medicine & Rehabilitation | 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 | 2015-12-31 |
| 1497120588 | Summit Orthopedics, Ltd | Clinic/Center | 15700 37th Ave N Ste 210, Plymouth, MN 55446-3662 | 2015-12-01 |
| 1306899463 | Summit Orthopedics, Ltd | Physical Therapist | 710 Commerce Dr Ste 200, Woodbury, MN 55125 | 2006-05-18 |
| 1962944827 | Summit Orthopedics, Ltd | Durable Medical Equipment & Medical Supplies | 2620 Eagan Woods Drive Ste 200, Eagan, MN 55121-1466 | 2016-11-09 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1053779215 | Summit Orthopedics, Ltd | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-02-03 |
| 1790108140 | Summit Orthopedics, Ltd | Clinic/Center | 3580 Arcade St Ste 250, Vadnais Heights, MN 55127-7135 | 2014-01-21 |
| 1215358346 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2013-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Orthopedics, Ltd. | 710 Commerce Dr., Suite 200, Woodbury, MN 55125 |
| Street Address |
1400 CORPORATE CENTER CURV |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376506303 | Lisa Diane Peirson | Occupational Therapist | 1400 Corporate Center Curv, Eagan, MN 55121-1373 | 2006-04-10 |
| 1396307450 | Laura Fisher | Physician Assistant | 1400 Corporate Center Curv, Eagan, MN 55121-1373 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1427038371 | Eric A Khetia | Orthopaedic Surgery | 1185 Town Centre Dr Ste 100, Eagan, MN 55123-1188 | 2006-01-18 |
| 1205254364 | Matthew Stephen Nies | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2014-04-04 |
| 1881972016 | Blake W Hildahl | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2011-07-21 |
| 1548306202 | Nicholas Joseph Wills | Orthopaedic Surgery | 1185 Town Centre Dr Ste 100, Eagan, MN 55123-1188 | 2007-01-29 |
| 1578515854 | Erik Scott Stroemer | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2006-05-16 |
| 1194793554 | Kristoffer M Breien | Orthopaedic Surgery | 1185 Town Centre Dr, Suite 100, Eagan, MN 55123-1187 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955385 | Summit Orthopedics Ltd | Orthopaedic Surgery | 4360 12th Ave E, Shakopee, MN 55379-1955 | 2019-10-30 |
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1477971174 | Thomas Jay Kaiser | Orthopaedic Surgery | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2014-03-31 |
| 1073876876 | Daniel Borgen | Orthopaedic Surgery | 1811 Pennsylvania Ave N, Golden Valley, MN 55427-4015 | 2012-06-18 |
| 1194019729 | John Allen Wilson Jr. | Orthopaedic Surgery | 7327 Rogers Point Rd Nw, Walker, MN 56484-2523 | 2011-05-31 |
| 1952693749 | Kurt Joseph Duncan | Orthopaedic Surgery | 8650 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8416 | 2011-05-11 |
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1861712861 | Wayne William Thompson | Orthopaedic Surgery | 1651 Saunders Ave, Saint Paul, MN 55116-2430 | 2010-06-02 |
| 1124357512 | William Jarvis Busby | Orthopaedic Surgery | 501 Holly Cir, Wayzata, MN 55391-1369 | 2009-12-14 |
| 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.