WAYZATA ORTHOPEDIC'S P.A. (NPI# 1164428223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164428223 |
| Entity Type | Organization |
| Organization Name | WAYZATA ORTHOPEDIC'S P.A. |
| Practice Address |
2805 Campus Dr Ste 425 Plymouth MN 55441-2680 |
| Mailing Address |
2805 Campus Drive Ste 425 Plymouth MN 55441-2616 |
| Practice Telephone | 7633830770 |
| Practice Fax Number | 7633830777 |
| Mailing Telephone | 7633830770 |
| Mailing Fax Number | 7633830777 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | MR. THOMAS F. VARECKA (PRESIDENT) |
| Authorized Official Telephone | 7633830770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 22452 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2805 CAMPUS DR STE 425 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308622 | Lauren Joy Hager | Nurse Practitioner | 2805 Campus Dr, 125, Plymouth, MN 55441-2676 | 2015-10-12 |
| 1316340128 | Lana Abboud | Psychologist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2014-10-07 |
| 1598165664 | Westhealth Surgery Center LLC | Clinic/Center | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-26 |
| 1144629262 | Timothy James Menden | Physical Therapist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-14 |
| 1114332301 | Sp Plastic Surgery, LLC | Plastic Surgery | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2014-06-25 |
| 1376893818 | Colin Joseph Maguire | Dentist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-09-12 |
| 1235498619 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 | 2012-05-07 |
| 1578821997 | Andrew Steven Houghton | Family Medicine | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-04-24 |
| 1811263551 | Jacob Joseph Haws | Physical Therapist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2012-03-27 |
| 1114225703 | Ness Plastic Surgery, LLC | Specialist | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1316411929 | Orthopedic Care Physician Network LLC Plymouth | Orthopaedic Surgery | 225 Water St Ste C105, Plymouth, MA 02360-4062 | 2019-01-16 |
| 1437183886 | Daniel Oneill | Orthopaedic Surgery | 12 Yeaton Rd, Ste C4, Plymouth, NH 03264-3457 | 2006-07-10 |
| 1225427487 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 225 Water St, Suite C-105, Plymouth, MA 02360-4060 | 2015-01-12 |
| 1275942484 | The Alpine Clinic, Pllc | Orthopaedic Surgery | 12 Yeaton Rd, Suite C4, Plymouth, NH 03264-3457 | 2014-08-13 |
| 1013349315 | Aaron Beck | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2013-08-08 |
| 1598103913 | Roman Gabriel Guerrero-maestre | Orthopaedic Surgery | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2013-06-07 |
| 1033487582 | Littleton Hospital Association | Orthopaedic Surgery | 12 Yeaton Rd, Dr. Daniel O'neill, Plymouth, NH 03264-3457 | 2011-12-12 |
| 1528213428 | Speare Memorial Hospital | Orthopaedic Surgery | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2008-11-20 |
| 1558537951 | Steven Koufman Leckie | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2008-05-06 |
| 1881895241 | David Howard Strothman | Orthopaedic Surgery | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2007-05-31 |
| Find all providers in PLYMOUTH | ||||
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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.