Organization Active NPI

Ridgeview Clinics

Doing business as Western Orthopaedics & Sports Medicine Consultants

  • Orthopaedic Surgery Physician
  • Olivia, MN
National Provider Identifier
1376748400
Registry record updated Aug 20, 2007
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
611 E Fairview St
Olivia, MN 56277-4213
Phone
(320) 523-1261
NPI assigned
Jun 19, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Kristi Besse
Title
Operations & Business Office Manage
Phone
(952) 442-7890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 19168 MN Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 9792 MN

Addresses

Primary practice location

611 E Fairview St
Olivia, MN 56277-4213

Mailing address

611 E Fairview St
Olivia, MN 56277-4213
Phone (320) 523-1261

Other names 1

  • Western Orthopaedics & Sports Medicine Consultants Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1376748400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E FAIRVIEW ST",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562774213",
            "telephone_number": "320-523-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E FAIRVIEW ST",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562774213",
            "telephone_number": "320-523-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-20",
        "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": "952-442-7890"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "19168",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Orthopaedics & Sports Medicine Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olivia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.