SUMMIT ORTHOPEDICS, LTD. (NPI# 1659422509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659422509 |
| Entity Type | Organization |
| Organization Name | SUMMIT ORTHOPEDICS, LTD. |
| Practice Address |
7115 Tamarack Rd Ste 250 Woodbury MN 55125-1209 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685479 |
| Practice Fax Number | 6519685491 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | JOHN BIEN (CFO) |
| Authorized Official Telephone | 6519685870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386795235 | Summit Orthopedics, Ltd. | Clinic/Center | 1661 Saint Anthony Ave Fl 1, Saint Paul, MN 55104-7632 | 2007-01-16 |
| 1225216542 | Summit Orthopedics, Ltd. | Occupational Therapist | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2008-02-08 |
| 1275684128 | Summit Orthopedics, Ltd. | Clinic/Center | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7633 | 2007-01-16 |
| 1609927557 | Summit Orthopedics, Ltd. | Clinic/Center | 2090 Woodwinds Dr, Woodbury, MN 55125 | 2007-01-16 |
| 1184775033 | Summit Orthopedics, Ltd. | Durable Medical Equipment & Medical Supplies | 1860 Wooddale Dr Ste 100, Woodbury, MN 55125 | 2007-01-16 |
| 1780735241 | Summit Orthopedics, Ltd. | Orthopaedic Surgery | 1285 Nininger Rd Ste 107, Hastings, MN 55033 | 2007-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Orthopedics, Ltd. | 710 Commerce Dr., Suite 200, Woodbury, MN 55125 |
| Street Address |
7115 TAMARACK RD STE 250 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1134321789 | Michael James Priola | Orthopaedic Surgery | 215 Radio Drive Suite 100, Woodbury, MN 55125 | 2007-06-05 |
| 1053415448 | Neal Smith | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2006-09-07 |
| 1265479216 | Salvatore J Corso | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-05-31 |
| 1457310542 | Jack M Bert | Orthopaedic Surgery | 5829 Woodlane Bay, Woodbury, MN 55129 | 2006-03-20 |
| 1760813216 | Cooper Bone and Joint At Inspira Woodbury | Orthopaedic Surgery | 509 N Broad St, Woodbury, NJ 08096-1617 | 2013-12-10 |
| 1477813731 | Erik Austin Lund | Orthopaedic Surgery | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 | 2012-05-21 |
| 1942598016 | Jack M Bert Md Pa | Orthopaedic Surgery | 2025 Woodlane Dr, Woodbury, MN 55125-2987 | 2011-07-11 |
| 1437446887 | Michael Richard Anderson | Orthopaedic Surgery | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2011-07-06 |
| 1225321102 | Trevor Charles Wahlquist | Orthopaedic Surgery | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2011-05-25 |
| 1952610099 | Stephen G Zolan | Orthopaedic Surgery | 800 Woodbury Rd, Suite I(letteri), Woodbury, NY 11797-2503 | 2010-10-06 |
| Find all providers in WOODBURY | ||||
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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.