Active NPI
Summit Orthopedics, LTD.
Doing business as Minnesota Occupational Health
- Occupational Medicine Clinic/Center
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- SUMMIT ORTHOPEDICS, LTD.
- Doing business as
- Minnesota Occupational Health
- Practice address
- 1661 Saint Anthony Ave
Saint Paul, MN 55104-7633 - Phone
- (651) 968-5300
- Fax
- (651) 646-0205
- NPI assigned
- Jan 16, 2007
- Last updated
- May 10, 2024
- 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
- John Bien
- Title
- Cfo
- Phone
- (651) 968-5870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | NU | Primary |
Addresses
Primary practice location
1661 Saint Anthony Ave
Saint Paul, MN 55104-7633
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02163 | Other | MN | MEDICARE PTAN |
Other names 1
- Minnesota Occupational Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000035 | MN | Part B Supplier - Clinic/Group Practice | 8921900374 |
Receives reassigned benefits from 305 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbury, MN; Vadnais Heights, MN; Shakopee, MN; Saint Paul, MN; Plymouth, MN; Hutchinson, MN; Blaine, MN; Buffalo, MN… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
600 Coon Rapids Blvd NW
Coon Rapids, MN 55433
600 Coon Rapids Blvd NW
#150
Coon Rapids, MN 55433
Phone (651) 968-5300
1400 Corporate Center Curv
Ste 200
Eagan, MN 55121
Phone (519) 685-3006
11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344
1285 Nininger Rd
Ste 107
Hastings, MN 55033
Phone (651) 968-5412
15450 Highway 7
Ste 125
Minnetonka, MN 55345
Phone (763) 581-8950
1661 Saint Anthony Ave
Fl 1
Saint Paul, MN 55104
Phone (651) 968-5600
1661 Saint Anthony Ave
Fl 2
Saint Paul, MN 55104
Phone (651) 968-5300
Practitioners & affiliated clinicians
Practitioners 179
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Vadnais Heights, MN
- NPI 1790418747
-
- Physical Therapist
- Minnetonka, MN
- NPI 1245279306
-
- Physician Assistant
- Woodbury, MN
- NPI 1790470565
-
- Family Nurse Practitioner
- Edina, MN
- NPI 1942051578
-
- Orthopaedic Foot and Ankle Surgery Physician
- Woodbury, MN
- NPI 1437446887
-
- Orthopaedic Hand Surgery Physician
- Woodbury, MN
- NPI 1558477216
-
- Orthopaedic Surgery Physician
- Eagan, MN
- NPI 1285088773
-
- Physician Assistant
- Vadnais Hights, MN
- NPI 1649886375
-
- Occupational Therapist
- Woodbury, MN
- NPI 1346738325
-
- Physical Therapist
- Eagan, MN
- NPI 1619552874
-
- Physician Assistant
- Saint Paul, MN
- NPI 1669040234
-
- Physician Assistant
- Eden Prairie, MN
- NPI 1427701986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1275684128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"telephone_number": "651-968-5042",
"fax_number": "651-968-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SAINT ANTHONY AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551047633",
"telephone_number": "651-968-5300",
"fax_number": "651-646-0205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT ORTHOPEDICS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "BIEN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-968-5870"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "C02163",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Minnesota Occupational Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.