Organization Active NPI

Wayzata Orthopedics PA

  • Orthopaedic Surgery Physician
  • Plymouth, MN
National Provider Identifier
1871640912
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1069 Issued in MS
Legal business name
WAYZATA ORTHOPEDICS PA
Practice address
2805 Campus Dr
Suite 425
Plymouth, MN 55441-2676
Phone
(763) 383-0770
Fax
(763) 383-0777
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Sandra J Hay
Title
Office Adm
Phone
(763) 383-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 1069 MS Primary

Addresses

Primary practice location

2805 Campus Dr
Suite 425
Plymouth, MN 55441-2676

Mailing address

2805 Campus Dr
Suite 425
Plymouth, MN 55441-2676
Phone (763) 383-0770

National Provider Directory

National Provider Directory

Locations

2805 Campus Dr
Ste 425
Plymouth, MN 55441
Phone (612) 383-0770

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1871640912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 425",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-383-0770",
            "fax_number": "763-383-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 425",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-383-0770",
            "fax_number": "763-383-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYZATA ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADM",
        "authorized_official_telephone_number": "763-383-0770"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.