Organization Active NPI

Orthopedic Surgical Consultants, P.a.

  • Orthopaedic Surgery Physician
  • Shakopee, MN
National Provider Identifier
1295781920
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on May 21, 2010

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

Authorized official

Name
Mrs. Jennifer R. Larson, PA-CNPI 1285684555
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
826312400MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Surgical Consultants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.