NPIMap

Organization Active NPI

Ridgeview Clinics

Doing business as Western Orthopaedics & Sports Medicine Consultants

  • Orthopaedic Surgery Physician
  • Spring Park, MN
National Provider Identifier
1306041066
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
19168 Issued in MN
Legal business name
RIDGEVIEW CLINICS
Doing business as
Western Orthopaedics & Sports Medicine Consultants
Practice address
4695 Shoreline Dr
Spring Park, MN 55384-9715
Phone
(952) 442-7895
Fax
(952) 442-7894
NPI assigned
Jun 20, 2007
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Ms. Kristi Besse
Title
Operations & Business Office Manage
Phone
(952) 442-7895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9792 MN
Orthopaedic Surgery Physician 207X00000X 19168 MN Primary

Addresses

Primary practice location

4695 Shoreline Dr
Spring Park, MN 55384-9715

Mailing address

4695 Shoreline Dr
Spring Park, MN 55384-9715
Phone (952) 442-7890

Other identifiers 1

IdentifierTypeStateIssuer
673283600MedicaidMN

Other names 1

  • Western Orthopaedics & Sports Medicine Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1306041066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849715",
            "telephone_number": "952-442-7890",
            "fax_number": "952-442-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849715",
            "telephone_number": "952-442-7895",
            "fax_number": "952-442-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OPERATIONS & BUSINESS OFFICE MANAGE",
        "authorized_official_telephone_number": "952-442-7895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9792",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "19168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673283600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Orthopaedics & Sports Medicine Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.