Organization Active NPI

Surgical Consultants, P.a.

  • Surgery Physician
  • Edina, MN
National Provider Identifier
1366479651
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL CONSULTANTS, P.A.
Practice address
6405 France Ave S
Suite W440
Edina, MN 55435-2163
Phone
(952) 927-7004
Fax
(952) 927-5146
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Christopher F. Roland, M.D.NPI 1306876578
Title
President
Phone
(952) 927-7004

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6405 France Ave S
Suite W440
Edina, MN 55435-2163

Mailing address

4570 W 77TH St
Suite 235
Edina, MN 55435-5008
Phone (952) 832-0805

Other identifiers 1

IdentifierTypeStateIssuer
189508700MedicaidMN

National Provider Directory

National Provider Directory

Locations

6525 France Ave S
Ste 325
Minneapolis, MN 55435
Phone (952) 920-4595

3366 Oakdale Ave N
Ste 519
Robbinsdale, MN 55422
Phone (763) 588-0734

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1366479651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST",
            "address_2": "SUITE 235",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355008",
            "telephone_number": "952-832-0805",
            "fax_number": "952-832-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W440",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-927-7004",
            "fax_number": "952-927-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-927-7004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189508700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.