Summit Orthopedics, LTD
Organization Active NPI Orthopaedic Surgery Physician · Shakopee, MN
NPI 1053955385 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1053955385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- SUMMIT ORTHOPEDICS, LTD
- Practice address
- 4360 12TH Ave E
Shakopee, MN 55379-1955 - Phone
- (651) 968-5200
- NPI assigned
- Oct 30, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT ORTHOPEDICS LTD
Authorized official
- Name
- John Bien
- Title
- Cfo
- Phone
- (651) 968-5870
Corporate family (same tax ID) 31
National Provider Directory
- Tax ID family
- Summitlandmark Orthopdc
- Part of
- Summitlandmark Orthopdc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4360 12TH Ave E
Shakopee, MN 55379-1955
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5200
Other names
- Summit Orthopedics - Shakopee Clinic
Other providers in Shakopee, MN
- Strive 4 Health Chiropractic LLC
- Schyler Studer
- Keith D Stueve
- Suburban Emergency Associates, P.a.
- Suite Living Senior Care of Shakopee
- Sunlight Health Services LLC
- Supervalu Pharmacies Inc
- Katherine Marie Sustacek
- Ashley Swanson
- Sara Melin Swanson
All providers in Shakopee, MN · Orthopaedic Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.