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MINNESOTA ORTHOPAEDIC SURGERY CENTER LLC
NPI 1548219397
Clinic/Center - Ambulatory Surgical in Fridley, MN

Active since May 09, 2006
8290 UNIVERSITY AVE NE, SUITE 100, FRIDLEY, MN 55432(763) 786-0461(763) 786-0471 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Minnesota Orthopaedic Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA ORTHOPAEDIC SURGERY CENTER LLC (NPI 1548219397) is a healthcare organization registered as an ambulatory surgical in Fridley, Minnesota and active in the NPI registry since May 2006. The organization lists Peter D Holmberg, President, as its authorized official.

NPPES Registry Identity

NPI1548219397
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMINNESOTA ORTHOPAEDIC SURGERY CENTER LLC
Location Address8290 UNIVERSITY AVE NE, SUITE 100Fridley, MN 55432-1847
Mailing Address8290 University Ave Ne, Suite 100Fridley, MN 55432-1847 · (763) 786-0461 · Fax (763) 786-0471
Phone(763) 786-0461
Fax(763) 786-0471
Organization SubpartNo
Authorized OfficialPeter D HolmbergPresident · (763) 786-9543
Enumeration DateMay 9, 2006
Last NPPES UpdateMay 22, 2012
✔ NPI 1548219397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8290 UNIVERSITY AVE NE, Fridley, MN 55432
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Other Identifiers 5

Medicaid726170500MN
Other1021808MN · Preferred One
Other7Y16MIMN · Blue Cross/blue Shield
Medicare ID-Type Unspecified490000028MN
Medicare NSC1972553741MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY C LINDELL PA-C MPAS
Physician Assistant
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
MRS. MELISSA CHRIST OLSON OTR/L, CLT
Occupational Therapist (Hand)
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
MRS. JANA LYNN KAESS MPT
Physical Therapist
8290 UNIVERSITY AVE NE, SUITE 300
FRIDLEY, MN 55432
Anoka County (763) 784-2340
MR. RALPH JAMES THROCKMORTON PT
Physical Therapist
8290 UNIVERSITY AVE NE, 300
FRIDLEY, MN 55432
Anoka County (763) 784-2340
MICHAEL THOMAS SOVELL PT
Physical Therapist
8290 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 784-2340
MS. MAXINE A SAMEK OTR-LCHT
Occupational Therapist (Hand)
8290 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 784-0436
DR. PHILIP HARDWICK HALEY M.D.
Orthopaedic Surgery
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
DR. PAUL R DIEKMANN M.D.
Orthopaedic Surgery
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Orthopaedic Surgery Center LLC's NPI number?

The NPI number for Minnesota Orthopaedic Surgery Center LLC is 1548219397. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Minnesota Orthopaedic Surgery Center LLC located?

Minnesota Orthopaedic Surgery Center LLC is located at 8290 University Ave NE Suite 100, Fridley, MN 55432. The listed phone number is (763) 786-0461.

What is Minnesota Orthopaedic Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Minnesota Orthopaedic Surgery Center LLC was last updated on May 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.