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SUMMIT ORTHOPEDICS LTD NPI 1811973639


NPI Information

NPI: 1811973639
Provider Name: SUMMIT ORTHOPEDICS LTD

Doing Business As: DBA LANDMARK SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7115 TAMARACK RD STE 200
WOODBURY, MN
ZIP 55125
Phone: (651) 968-5468
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SUMMIT ORTHOPEDICS LTD is an ambulatory surgical clinic center in Woodbury, MN. SUMMIT ORTHOPEDICS LTD NPI is 1811973639. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Landmark Surgery Center.

The provider's business location address is:

7115 TAMARACK RD STE 200
WOODBURY, MN
ZIP 55125-208
Phone: (651) 968-5468
Fax: (651) 968-5492

The provider's authorized official is Beckie Hines .
The authorized official title is Director Of Surgery Centers and has the following contact phone number (651) 968-5438.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical375355MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18A11LAOTHERMINNESOTABLUE CROSS BLUE SHIELD
26801127OTHERMINNESOTAMEDICA
3020718700MEDICAIDMINNESOTA
444038OTHERMINNESOTAHEALTHPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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