Edina Plastic Surgery, LTD.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

EDINA PLASTIC SURGERY, LTD.

Practice address

6525 France Ave. S., Suite 300
Edina, MN 55435

Phone

(952) 925-1765

Fax

(952) 925-1579

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Robert C. Wilke, M.D.

Title

Surgeon

Phone

(952) 925-1765

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• William Carter, M.D.

  • Specialist
  • Edina, MN
  • NPI 1912919960
  NPD (past)
• Christine Elyse Stewart, M.D.

  • Plastic Surgery Physician
  • Edina, MN
  • NPI 1235575473

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1497766471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE. S., SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-925-1765",
            "fax_number": "952-925-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE. S., SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-925-1765",
            "fax_number": "952-925-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA PLASTIC SURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "952-925-1765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edina Psychology, S.C.
• Edina Retina Consultants
• Edina Senior Living LLC
• Edina Senior Living, LLC
• Edina Sports Health & Wellness, PA

• Plastic Surgery Physician in Edina, MN
• Providers in Edina, MN by specialty
• Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.