Active NPI
Orthopedic Surgical Consultants, P.a.
- Orthopaedic Surgery Physician
- Shakopee, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
- Practice address
- 1515 Saint Francis Ave
Suite 150
Shakopee, MN 55379-3387 - Phone
- (952) 403-3399
- Fax
- (952) 403-3390
- NPI assigned
- May 25, 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. Jennifer R. Larson, PA-C
- Title
- Office Manger
- Phone
- (952) 403-3399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1515 Saint Francis Ave
Suite 150
Shakopee, MN 55379-3387
Mailing address
1515 Saint Francis Ave
Suite 150
Shakopee, MN 55379-3387
Phone (952) 403-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826312400 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopedic Surgical Consultants PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Chaska, MN
- NPI 1083933642
Locations
2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Shakopee, MN
- NPI 1285684555
-
- Orthopaedic Surgery Physician
- Shakopee, MN
- NPI 1134179419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274400000000",
"number": "1295781920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SAINT FRANCIS AVE",
"address_2": "SUITE 150",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793387",
"telephone_number": "952-403-3399",
"fax_number": "952-403-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SAINT FRANCIS AVE",
"address_2": "SUITE 150",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793387",
"telephone_number": "952-403-3399",
"fax_number": "952-403-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SURGICAL CONSULTANTS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2010-05-21",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "952-403-3399",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "826312400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.