Summit Orthopedics, LTD
Organization Active NPI Orthopaedic Surgery Physician · Woodbury, MN
NPI 1306899463 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1306899463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- SUMMIT ORTHOPEDICS, LTD
- Practice address
- 710 Commerce Dr Ste 200
Woodbury, MN 55125 - Phone
- (651) 968-5042
- Fax
- (651) 968-5904
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- John Bien
- Title
- Cfo
- Phone
- (651) 968-5870
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 15
Practitioners 315
-
Aisha Abdo, DPT
-
Cory Absey, PT
-
Peter S. Ames, P.T.
-
Michael Richard Anderson, D.O.
-
Tracey Lynn Baehler, APRN, CNP
-
Michael R Baer, M.D.
-
Alicia Terese Balster, PA-C
-
Sara Balster, OTR/L
-
Jack Barber, PT, DPT
-
Ryan M Bastyr, PT
-
Katelyn M Bauer, DPT
-
Nicholas Cameron Bjore, PA-C
-
Jackie Lynn Bosshart, OTR/L
-
Andrew Brooks, MD
-
Jordan Marie Brown, FNP-C
-
Ally E Brugler, PT
-
Allison K Buth, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MN, WI
Medicare enrollment records
| 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 Practice locations: Woodbury, MN; Vadnais Heights, MN; Shakopee, MN; Saint Paul, MN; Plymouth, MN; Hutchinson, MN; Blaine, MN; Buffalo, MN… |
| O20210609000115 | WI | Part B Supplier - Clinic/Group Practice | 8921900374 |
Receives reassigned benefits from 33 practitioners Practice locations: River Falls, WI |
| O20220505001003 | MN | DME Supplier - Multi-Specialty - Physician | 8921900374 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakeville, MN |
| O20220627001402 | MN | DME Supplier - Multi-Specialty - Physician | 8921900374 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minnetonka, MN |
National Provider Directory
Locations
2620 Eagan Woods Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 968-5230
2090 Woodwinds Dr
Ste 150
Woodbury, MN 55125
Phone (651) 968-5097
4123 Radio Dr
Woodbury, MN 55129
Phone (651) 968-5300
2090 Woodwinds Dr
Ste 100
Woodbury, MN 55125
Phone (651) 968-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Orthopedic Physical Therapist |
2251X0800X | |||
| Hand Occupational Therapist |
225XH1200X |
Addresses
Primary practice location
710 Commerce Dr Ste 200
Woodbury, MN 55125
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352813800 | Medicaid | MN | |
| CP5327 | Other | MN | RAILROAD MEDICARE |
Other providers in Woodbury, MN
- Paul H Sufka
- Summer Counseling and Behavioral Health Summer Counseling
- Summit Orthopedics LTD
- Summit Orthopedics LTD
- Summit Orthopedics LTD
- Summit Orthopedics, LTD
- Summit Orthopedics, LTD.
- Summit Orthopedics, LTD.
- Sunshine Hopecare LLC
- Erin Elizabeth Suntken
All providers in Woodbury, MN · Orthopaedic Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.