Individual provider Active NPI

S Scott Standa

  • Foot & Ankle Surgery Podiatrist
  • Shakopee, MN
National Provider Identifier
1407963598
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
334 Issued in MN
Practice address
287 Marschall Rd
Ste 106
Shakopee, MN 55379-1686
Phone
(952) 445-5390
Fax
(952) 445-5394
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 334 MN Primary

Addresses

Primary practice location

287 Marschall Rd
Ste 106
Shakopee, MN 55379-1686

Mailing address

287 Marschall Rd
Ste 106
Shakopee, MN 55379-1678
Phone (952) 445-5390

Other identifiers 1

IdentifierTypeStateIssuer
892825800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000289 MN Practitioner - Podiatry 7517850431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 115N
Chaska, MN 55318-1584
Phone (952) 442-7820

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

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
334MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center Current Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Dec 21, 2025 Accepting new patients
Sibley Medical Center CurrentSince Dec 21, 2025 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Dec 21, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Feb 1, 2010 Accepting new patients
Ridgeview Clinics Past Accepting new patients
Carlson Chiropractic Health and Healing Inc. PastSince Jun 7, 2018 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

625 S 4th St
#A
Le Sueur, MN 56058
Phone (507) 593-5920

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

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

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

551 4th St N
Winsted, MN 55395
Phone (320) 485-2151

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1407963598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MARSCHALL RD",
            "address_2": "STE 106",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791678",
            "telephone_number": "952-445-5390",
            "fax_number": "952-445-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MARSCHALL RD",
            "address_2": "STE 106",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791686",
            "telephone_number": "952-445-5390",
            "fax_number": "952-445-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDA",
        "first_name": "S",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892825800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.