SUMMIT ORTHOPEDICS, LTD. (NPI# 1225216542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225216542 |
Entity Type | Organization |
Organization Name | SUMMIT ORTHOPEDICS, LTD. |
Practice Address |
2620 Eagan Woods Dr Ste 100 Eagan MN 55121-1138 |
Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
Practice Telephone | 6519685201 |
Mailing Telephone | 6519685042 |
Mailing Fax Number | 6519685904 |
Enumeration Date | 2008-02-08 |
Last Update Date | 2018-05-10 |
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 | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers | ||
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659422509 | Summit Orthopedics, Ltd. | Podiatrist | 7115 Tamarack Rd Ste 250, Woodbury, MN 55125-1209 | 2007-01-16 |
1386795235 | Summit Orthopedics, Ltd. | Clinic/Center | 1661 Saint Anthony Ave Fl 1, Saint Paul, MN 55104-7632 | 2007-01-16 |
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 |
2620 EAGAN WOODS DR STE 100 |
City | EAGAN |
State | MN |
Zip Code | 55121-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902875818 | Bryan C Sternberg | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2006-03-14 |
1205254364 | Matthew Stephen Nies | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2014-04-04 |
1447682679 | Kathryn L Roggow | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2013-07-30 |
1124468962 | Brennan J Boettcher | Physical Medicine & Rehabilitation | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121 | 2013-06-25 |
1922341932 | John Patrick Delaney | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2013-03-28 |
1881972016 | Blake W Hildahl | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2011-07-21 |
1629304654 | Thirath Mark Luong | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2009-10-27 |
1457582793 | Matthew R Wolden | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2009-08-04 |
1578515854 | Erik Scott Stroemer | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2006-05-16 |
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 | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073650917 | Lori A Froehling | Physical Therapist | 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121-1253 | 2007-01-31 |
1265401269 | Amanda Tuttle Thielen | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2006-03-14 |
1629558408 | Joshua Speckman | Physical Therapist | 2119 Cliff Rd, Eagan, MN 55122-2345 | 2018-08-21 |
1174990469 | Jamie Briski | Physical Therapist | 1565 Thomas Center Dr, Eagan, MN 55122-2642 | 2015-08-21 |
1881822203 | Samuel R Olson | Physical Therapist | 1185 Town Centre Dr Ste 100, Eagan, MN 55123-1188 | 2009-06-24 |
1336394634 | Chanda D Jothen | Physical Therapist | 2640 Eagan Woods Dr Ste 120, Eagan, MN 55121-1466 | 2008-12-01 |
1417111451 | Cassandra Donielle Erickson | Physical Therapist | 2640 Eagan Woods Dr Ste 120, Eagan, MN 55121-1466 | 2008-07-17 |
1649487604 | Nathan Richard Ryan | Physical Therapist | 1284 Corporate Center Dr, Eagan, MN 55121-1253 | 2007-05-17 |
1023146636 | Maria Barton | Physical Therapist | 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121-1253 | 2007-03-02 |
1174581755 | Jennifer Kathryn Nelson | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2006-05-03 |
Find all providers in EAGAN |
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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.