SUMMIT ORTHOPEDICS, LTD (NPI# 1841655156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841655156 |
| Entity Type | Organization |
| Organization Name | SUMMIT ORTHOPEDICS, LTD |
| Practice Address |
2800 Chicago Ave Ste 402 Minneapolis MN 55407-1352 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685675 |
| Practice Fax Number | 6519685904 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | JAMISON YOUNG (CFO) |
| Authorized Official Telephone | 6519685655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609664 | Summit Orthopedics, Ltd | Clinic/Center | 2620 Eagan Woods Drive Ste 200, Eagan, MN 55121-1466 | 2016-06-08 |
| 1164870895 | Summit Orthopedics, Ltd | Clinic/Center | 2620 Eagan Woods Drive Ste 300, Eagan, MN 55121-1466 | 2016-06-03 |
| 1497120588 | Summit Orthopedics, Ltd | Clinic/Center | 15700 37th Ave N Ste 210, Plymouth, MN 55446-3662 | 2015-12-01 |
| 1306899463 | Summit Orthopedics, Ltd | Physical Therapist | 710 Commerce Dr Ste 200, Woodbury, MN 55125 | 2006-05-18 |
| 1962944827 | Summit Orthopedics, Ltd | Durable Medical Equipment & Medical Supplies | 2620 Eagan Woods Drive Ste 200, Eagan, MN 55121-1466 | 2016-11-09 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1053779215 | Summit Orthopedics, Ltd | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-02-03 |
| 1568843621 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 1400 Corporate Center Curv, Eagan, MN 55121-1373 | 2015-06-15 |
| 1790108140 | Summit Orthopedics, Ltd | Clinic/Center | 3580 Arcade St Ste 250, Vadnais Heights, MN 55127-7135 | 2014-01-21 |
| 1215358346 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2013-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Orthopedics, Ltd. | 710 Commerce Dr., Suite 200, Woodbury, MN 55125 |
| Street Address |
2800 CHICAGO AVE STE 402 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
|---|---|---|---|---|
| 1922141449 | Jeffrey Alexander Macalena | Orthopaedic Surgery | 2450 Riverside Ave # R200, Minneapolis, MN 55454-1450 | 2007-02-14 |
| 1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
| 1134236284 | Patrick Yoon | Orthopaedic Surgery | 701 Park Avenue South, Minneapolis, MN 55415 | 2006-08-24 |
| 1932113487 | Jonathan Nubla Sembrano | Orthopaedic Surgery | 2450 Riverside Ave South., R200, Minneapolis, MN 55454-1450 | 2006-07-28 |
| 1962434837 | Renner Michael Johnston | Orthopaedic Surgery | 525 N 3rd St, Appt #306, Minneapolis, MN 55401-1239 | 2006-07-07 |
| 1902847601 | Christian M Ogilvie | Orthopaedic Surgery | 2512 South 7th Street, Minneapolis, MN 55454 | 2006-06-10 |
| 1750387734 | David C Templeman | Orthopaedic Surgery | 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 | 2005-06-23 |
| 1033115118 | Andrew H Schmidt | Orthopaedic Surgery | 914 S 8th St, Suite 600, Minneapolis, MN 55404-1210 | 2005-06-23 |
| 1568925600 | Paul Hoogervorst | Orthopaedic Surgery | 2450 Riverside Ave # R200, Minneapolis, MN 55454-1450 | 2019-04-06 |
| 1235527136 | Peter Leafblad | Orthopaedic Surgery | 715 S 8th St, Minneapolis, MN 55404-1210 | 2014-12-30 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.