Active NPI
Orthopaedic & Fracture Clinic P a
- Durable Medical Equipment & Medical Supplies
- Mankato, MN
National Provider Identifier
1174565345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47
- Legal business name
- ORTHOPAEDIC & FRACTURE CLINIC P A
- Practice address
- 1431 Premier Drive
Mankato, MN 56001-6076 - Phone
- (507) 386-6600
- Fax
- (507) 625-5971
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica Arnoldy
- Title
- Cfo
- Phone
- (507) 386-6734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 47 | MN | Primary |
Addresses
Primary practice location
1431 Premier Drive
Mankato, MN 56001-6076
Mailing address
1431 Premier Drive
Mankato, MN 56001-6076
Phone (507) 386-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000546 | MN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 7012986276 |
1 other NPI on this enrollment Practice locations: Mankato, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Orthopaedic Surgery Physician
- Mankato, MN
- NPI 1659346609
7012986276
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1174565345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 PREMIER DRIVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600",
"fax_number": "507-625-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIER DRIVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600",
"fax_number": "507-625-5971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC & FRACTURE CLINIC P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "ARNOLDY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "507-386-6734",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MN",
"license": "47",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.