SPORTS AND ORTHOPAEDIC SPECIALISTS, PA (NPI# 1194751552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194751552 |
Entity Type | Organization |
Organization Name | SPORTS AND ORTHOPAEDIC SPECIALISTS, PA |
Practice Address |
8100 W 78th St Suite 225 Edina MN 55439-2516 |
Practice Telephone | 9529469777 |
Practice Fax Number | 9529469888 |
Mailing Telephone | 9529469777 |
Mailing Fax Number | 9529469888 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | WILLIAM EVANS (OPERATIONS MANAGER) |
Authorized Official Telephone | 9529469777 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | PERFERRED ONE | 89704 | 01 |
MN | BLUE CROSS/SHIELD | 60D44SH | 01 |
MN | HEALTHPARTNERS | 59836 | 01 |
MN | RAILROAD MEDICARE | CI4045 | 01 |
MN | SELECT CARE | 3420A | 01 |
Street Address |
8100 W 78TH ST SUITE 225 |
City | EDINA |
State | MN |
Zip Code | 55439-2516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841273927 | Thomas Anthony Kiff | Specialist/Technologist | 8100 W 78th St, 225, Edina, MN 55439-2516 | 2005-11-22 |
1326524414 | Angela Esther Koich | Specialist/Technologist | 8100 W 78th St, Edina, MN 55439-2516 | 2018-07-12 |
1811351471 | Rachel Spika | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2016-04-11 |
1700260379 | Melissa Haupt | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-07-14 |
1487037909 | Bryce Mikel | Internal Medicine | 8100 W 78th St, Edina, MN 55439 | 2015-07-01 |
1609260413 | Michael Hall | Specialist/Technologist | 8100 W 78th St, Suite #230, Edina, MN 55439-2516 | 2015-03-19 |
1740673854 | Kylene Hoeft | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-03-13 |
1902297591 | Katie Lynn Sjostrom | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-18 |
1073904496 | Sabrina Siple | Physician Assistant | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-06 |
1205241825 | Anna Karoline Stephens Lange | Internal Medicine | 8100 W 78th St, Edina, MN 55439-2516 | 2014-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
Find all providers in zip 55439 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013970144 | James Richard Larson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457963191 | Tressa Dee Weeden-bootz | Neuromusculoskeletal Medicine, Sports Medicine | 8071 Curtis Ln, Eden Prairie, MN 55347-1110 | 2020-08-22 |
1891841128 | Chiromed Clinic, P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 5355 Penn Ave S, Minneapolis, MN 55419-1056 | 2007-01-27 |
1639121460 | James Edmund Call Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 22015 State Highway 6, Deerwood, MN 56444-6278 | 2006-05-17 |
1164410270 | Robert A Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 640 Jackson St - Mc 11503l, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2005-10-12 |
1679560213 | Matthew A. Raml | Neuromusculoskeletal Medicine, Sports Medicine | 1500 Irving St, Alexandria, MN 56308-2515 | 2005-09-29 |
1184148017 | Andrew Jacob Olson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-08-02 |
1528389244 | Nicolas N Madigan | Neuromusculoskeletal Medicine, Sports Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-06-16 |
1629193446 | Metropolitan Internists, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 825 S 8th St, Suite #600 Parkside Prof Bldg, Minneapolis, MN 55404-1208 | 2007-03-20 |
1275671711 | David Benjamin Ketroser | Neuromusculoskeletal Medicine, Sports Medicine | 2000 Plymouth Rd, Suite 110, Minnetonka, MN 55305-2366 | 2007-02-04 |
1528163581 | James Herbert House | Neuromusculoskeletal Medicine, Sports Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-14 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SPORTS AND ORTHOPAEDIC SPECIALISTS, PA.
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.