Provider Demographics
NPI:1306899463
Name:SUMMIT ORTHOPEDICS, LTD
Entity type:Organization
Organization Name:SUMMIT ORTHOPEDICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-968-5870
Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5200
Mailing Address - Fax:651-968-5904
Practice Address - Street 1:710 COMMERCE DR STE 200
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125
Practice Address - Country:US
Practice Address - Phone:651-968-5042
Practice Address - Fax:651-968-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN352813800Medicaid
MNCP5327OtherRAILROAD MEDICARE
MN0820180001Medicare NSC
MN0820180006Medicare NSC
MN0820180016Medicare NSC
MNC02163Medicare PIN
MN0820180009Medicare NSC
MN0820180011Medicare NSC
MN0820180004Medicare NSC
MN0820180003Medicare NSC
MN0820180008Medicare NSC
MN0820180010Medicare NSC
MN0820180012Medicare NSC
MN0820180013Medicare NSC
MN352813800Medicaid
MN0820180005Medicare NSC
MNCP5327OtherRAILROAD MEDICARE
MN0820180015Medicare NSC