Organization Active NPI

St. Croix Orthopaedics, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, MN
National Provider Identifier
1205970894
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST. CROIX ORTHOPAEDICS, P.A.
Practice address
1715 Tower Dr. W Suite 100
Heartland Center
Stillwater, MN 55082-7609
Phone
(651) 275-4180
Fax
(651) 275-2744
NPI assigned
Feb 16, 2007
Organization subpart
Yes
Parent organization
ST. CROIX ORTHOPAEDICS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Amy Lindstrom
Title
Director of Ancillary Services
Phone
(651) 351-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1715 Tower Dr. W Suite 100
Heartland Center
Stillwater, MN 55082-7609

Mailing address

5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone (651) 439-8807

Other identifiers 6

IdentifierTypeStateIssuer
41657800MedicaidWI
44582OtherMNHEALTHPARTNERS
8G895BROtherMNBLUE CROSS MN BLUE PLUS
9635801017818OtherMNPREFERRED ONE
942298600MedicaidMN
102957OtherMNUCARE

Other names 1

  • Orthotic Center Doing business as

National Provider Directory

National Provider Directory
Part of
St Croix Orthopaedics P

Locations

1655 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-2800

1701 Curve Crest Blvd W
Ste 106
Stillwater, MN 55082

1991 Northwestern Ave S
Stillwater, MN 55082
Phone (651) 739-8807

1701 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 275-2715

405 Stageline Rd
#4
Hudson, WI 54016
Phone (715) 531-6019

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1205970894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NEAL AVE N",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550822177",
            "telephone_number": "651-439-8807",
            "fax_number": "651-439-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR. W SUITE 100",
            "address_2": "HEARTLAND CENTER",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "651-275-4180",
            "fax_number": "651-275-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX ORTHOPAEDICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CROIX ORTHOPAEDICS, P.A.",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "651-351-2728"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41657800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "44582",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MN BLUE PLUS",
            "identifier": "8G895BR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "9635801017818",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942298600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "102957",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.