Active NPI
Wayzata Orthopedics PA
- Orthopaedic Surgery Physician
- Plymouth, MN
National Provider Identifier
1871640912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1069
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Minneapolis, MN
- NPI 1033115118
-
- Orthopaedic Surgery Physician
- Minneapolis, MN
- NPI 1750387734
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.