NPIMap

Summit Orthopedics LTD

Organization Active NPI Ambulatory Surgical Clinic/Center · Eagan, MN

NPI 1164870895 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1164870895
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
SUMMIT ORTHOPEDICS LTD
Practice address
2620 Eagan Woods Drive Ste 300
Eagan, MN 55121-1466
Phone
(651) 968-5215
Fax
(651) 730-3601
NPI assigned
Jun 3, 2016
Organization subpart
No

Authorized official

Name
Beckie Hines
Title
Director of Surgery Centers
Phone
(651) 968-5438

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners 282

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 282

Medicare Care Compare: Ambulatory surgical center

Listed as
Eagan Surgery Center CCN 24C0001091
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2124631Eagan Surgery Center
2620 Eagan Woods Drive Suite 300, Eagan, MN 55121		Certificate of waiverJan 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160825001993 MN Part B Supplier - Ambulatory Surgical Center 8921900374 Practice locations: Eagan, MN

National Provider Directory

Tax ID family
Summitlandmark Orthopdc (32 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MN Yes

Addresses

Primary practice location

2620 Eagan Woods Drive Ste 300
Eagan, MN 55121-1466

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5215

Other names

  • Eagan Surgery Center Doing business as

Other providers in Eagan, MN

All providers in Eagan, MN · Ambulatory Surgical Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.