SPORTS AND ORTHOPAEDIC SPECIALISTS, PA


Address: 8100 W 78th St, Suite 225, Edina, MN 55439-2516
Phone: 9529469777

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204C00000X Neuromusculoskeletal Medicine, Sports Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 8100 W 78TH ST
SUITE 225
City EDINA
State MN
Zip Code 55439-2516

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City EDINA
Zip Code 55439

Improve Information

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Dataset Information

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.

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