Sports and Orthopaedic Specialists, PA

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

SPORTS AND ORTHOPAEDIC SPECIALISTS, PA

Practice address

8100 W 78TH St
Suite 225
Edina, MN 55439-2516

Phone

(952) 946-9777

Fax

(952) 946-9888

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Evans

Title

Operations Manager

Phone

(952) 946-9777

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 16

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

• Daniel D Buss, M.D.

  • Orthopaedic Surgery Physician
  • Edina, MN
  • NPI 1457309809
  NPD (past)
• Vinh Dang, MPAS, PA-C

  • Physician Assistant
  • Edina, MN
  • NPI 1972546547
  NPD (past)
• Michael Q Freehill, M.D.

  • Orthopaedic Surgery Physician
  • Plymouth, MN
  • NPI 1306894845
  NPD (past)
• Tyler Joseph Harvey, PA-C

  • Physician Assistant
  • Hibbing, MN
  • NPI 1225091234
  NPD (past)
• Aimee Sue Klapach, M.D.

  • Orthopaedic Surgery Physician
  • Edina, MN
  • NPI 1366405672
  NPD (past)
• Cindi Lynn Mansur, P.A.

  • Physician Assistant
  • Plymouth, MN
  • NPI 1427241488
  NPD (past)
• Noelle M Maze, R.N., M.A., C-A.N.P

  • Nurse Practitioner
  • Edina, MN
  • NPI 1609824465
  NPD (past)
• Leroy Pearce McCarty III, M.D.

  • Orthopaedic Surgery Physician
  • Edina, MN
  • NPI 1902871882
  NPD (past)
• Karl T Nelsen, P.A.

  • Physician Assistant
  • Roseville, MN
  • NPI 1194924068
  NPD (past)
• Ryan Anthony Olsen, P.A.

  • Physician Assistant
  • Edina, MN
  • NPI 1477516649
  NPD (past)
• Vijay Vanumu, MD

  • Student in an Organized Health Care Education/Training Program
  • Oakdale, MN
  • NPI 1578856712
  NPD (past)
• Lisa Ruth Wasserman, M.D.

  • Orthopaedic Surgery Physician
  • St Louis Park, MN
  • NPI 1548222482
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194751552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST",
            "address_2": "SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392516",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST",
            "address_2": "SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392516",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPAEDIC SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-946-9777"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "59836",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "3420A",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4045",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFERRED ONE",
            "identifier": "89704",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "60D44SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Spika, MAT, ATC
• Spinal Motion Chiropractic PLLC
• Susan Kathleen Spindler, RN
• Alexandra Clarisse Spirov, LPCC
• Dale R Spoolhoff, CRNA
• Heidi Helleck Sprang, CNP
• Springwood Therapy, LLC
• Sprouting Hope, LLC
• Spur of Life
• Madeline Anne Squires, LICSW

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Edina, MN
• Providers in Edina, MN by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.