Surgical Specialties, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

186 Issued in MN

Legal business name

SURGICAL SPECIALTIES, LTD.

Practice address

470 W 78TH St
Chanhassen, MN 55317-4524

Phone

(952) 224-9350

Fax

(952) 224-9356

NPI assigned

Apr 19, 2006

Last updated

Oct 18, 2012By 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

Dr. Jill M. Julsrud, M.D.NPI 1306811070

Title

Partner

Phone

(952) 224-9350

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jill M Julsrud, M.D.

  • Specialist
  • Chanhassen, MN
  • NPI 1306811070
  NPD (past) Authorized official
• Bret A Cardwell, MD

  • Surgery Physician
  • Fort Myers, FL
  • NPI 1932174661

  Specialist

  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1942265434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174539",
            "telephone_number": "952-224-9350",
            "fax_number": "952-224-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174524",
            "telephone_number": "952-224-9350",
            "fax_number": "952-224-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTIES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "JULSRUD",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "952-224-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serena Tichy, ATC
• Jean Kathryn Tiffany, M.D.
• Claire Elise Tollefsrud

• Specialist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.