Organization Active NPI

Summit Orthopedics, LTD.

Doing business as Minnesota Occupational Health

  • Occupational Medicine Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1275684128
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C02163OtherMNMEDICARE PTAN

Other names 1

  • Minnesota Occupational Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

View all 179

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.

Verify at the official NPI Registry.