Active NPI
John A Ness, MD
- Plastic and Reconstructive Surgery Physician
- Wayzata, MN
National Provider Identifier
1124046933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 36379
- Practice address
- 935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513 - Phone
- (763) 559-4500
- Fax
- (763) 559-1733
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 36379 | MN | Primary |
Addresses
Primary practice location
935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Mailing address
935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Phone (763) 559-4500
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1324452 | Other | MEDICA | |
| 249000020 | Other | METRAHEALTH | |
| 249000023 | Other | METRAHEALTH MPIN | |
| 111019 | Other | UCARE | |
| 1324439 | Other | MEDICA | |
| 532002 | Other | P ONE | |
| 53242MI | Other | BCBS | |
| 111041 | Other | UCARE | |
| 54385HE | Other | BCBS | |
| 56657SM | Other | BCBS | |
| 01271SC | Other | BCBS | |
| 1324451 | Other | MEDICA | |
| 07537 | Other | METRAHEALTH MPIN | |
| 532001 | Other | P ONE | |
| 108167 | Other | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midsota Plastic and Reconstructive Surgeons PA | Plastic and Reconstructive Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Saint Cloud, MN
- NPI 1043238843
Plastic and Reconstructive Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1124046933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 WAYZATA BLVD E STE 200",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912513",
"telephone_number": "763-559-4500",
"fax_number": "763-559-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 WAYZATA BLVD E STE 200",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912513",
"telephone_number": "763-559-4500",
"fax_number": "763-559-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESS",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MN",
"license": "36379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1324452",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "249000020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH MPIN",
"identifier": "249000023",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "111019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1324439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P ONE",
"identifier": "532002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53242MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "111041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "54385HE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56657SM",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01271SC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1324451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH MPIN",
"identifier": "07537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P ONE",
"identifier": "532001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "108167",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.