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ECHELON SURGICAL SPECIALISTS LLC
NPI 1720574445
Plastic Surgery in Minnetonka, MN

Active since July 05, 2018
15450 HIGHWAY 7 STE 225, MINNETONKA, MN 55345(507) 383-3134 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2018, Jul 5, 2018 (2 updates tracked since 2018).

About Echelon Surgical Specialists Llc NPPES

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

ECHELON SURGICAL SPECIALISTS LLC (NPI 1720574445) is a healthcare organization registered as a plastic surgery in Minnetonka, Minnesota and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Edina and lists Matthew Carroll Camp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720574445
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameECHELON SURGICAL SPECIALISTS LLC
Location Address15450 HIGHWAY 7 STE 225Minnetonka, MN 55345-3522
Mailing Address12300 168th St WLakeville, MN 55044-9224 · (507) 383-3134
Phone(507) 383-3134
Organization SubpartNo
Authorized OfficialMatthew Carroll CampCeo · (507) 383-3134
Enumeration DateJuly 5, 2018
Last NPPES UpdateOctober 2, 20182 updates tracked since enumeration
✔ NPI 1720574445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MN · 54799
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
15450 HIGHWAY 7 STE 225, Minnetonka, MN 55345
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Secondary Practice Location 1

Location 12934 W 66th StEdina, MN 55423-1939 · Phone (507) 383-3134

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. TRACY SO KAYAN MD
Plastic Surgery
15450 HIGHWAY 7 STE 225
MINNETONKA, MN 55345
Hennepin County (612) 756-8008
KAYAN PLASTIC SURGERY LLC
Plastic Surgery
15450 HIGHWAY 7 STE 225
MINNETONKA, MN 55345
Hennepin County (612) 756-8008

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 Echelon Surgical Specialists LLC's NPI number?

The NPI number for Echelon Surgical Specialists LLC is 1720574445. It was assigned to this organization in the NPPES registry on July 5, 2018.

Where is Echelon Surgical Specialists LLC located?

Echelon Surgical Specialists LLC is located at 15450 Highway 7 Ste 225, Minnetonka, MN 55345. The listed phone number is (507) 383-3134.

What is Echelon Surgical Specialists LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Echelon Surgical Specialists LLC accept?

Health plans from Medica list Echelon Surgical Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Echelon Surgical Specialists LLC was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.