Advanced Hand and Upper Extremity Center PC

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

ADVANCED HAND AND UPPER EXTREMITY CENTER PC

Practice address

9325 Upland LN N # 255
Maple Grove, MN 55369

Phone

(701) 388-2196

Fax

(763) 314-2026

NPI assigned

Sep 13, 2021

Last updated

Aug 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon David Norberg, MDNPI 1407850225

Title

President

Phone

(763) 465-4263

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon David Norberg, M.D.

  • Orthopaedic Surgery Physician
  • Maple Grove, MN
  • NPI 1407850225
  Authorized official Same address or phone

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661040000000",
    "number": "1689343600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 255",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694463",
            "telephone_number": "763-465-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N # 255",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "701-388-2196",
            "fax_number": "763-314-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAND AND UPPER EXTREMITY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "NORBERG",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-465-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12017",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "63419",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@advancedhandmn.com",
            "affiliation": "N",
            "endpointDescription": "Practice inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice inbox",
            "address_1": "9325 Upland Ln N # 255",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Accorde Orthodontists
• Stephanie Acosta
• Naomi Jain Adams, CNM
• Farhiya Aden
• Advanced Arm Dynamics of Minnesota
• Advocate Services Inc.
• Aegis Group Practice LLC
• Aegis Group Practice LLC
• Aesthetic and Plastic Surgery, PA
• Affiliated Otolaryngologists PA

• Orthopaedic Hand Surgery Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Orthopaedic Hand Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.