MINNESOTA ORTHOPAEDIC SURGERY CENTER, LLC
NPI 1972553741
Clinic/Center - Ambulatory Surgical in Fridley, MN

Q: 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.

Active since May 11, 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: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1972553741) 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

NPI1972553741

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) 717-4105 · Fax (952) 456-7092

Phone(763) 786-0461

Fax(763) 786-0471

Organization SubpartNo

Authorized OfficialPeter D HolmbergPresident · (763) 786-9543

Enumeration DateMay 11, 2006

Last NPPES UpdateAugust 3, 2016

✔ NPI 1972553741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in MN · HFID#04305

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

8290 UNIVERSITY AVE NE, Fridley, MN 55432

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Other Identifiers 4

Medicare ID-Type Unspecified490000028MN

Medicaid726170500MN

Medicare NSC3871660001MN

Medicare PIN3871660001

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.

NOVACARE OUTPATIENT REHABILIATION EAST INC

Clinic/Center (Rehabilitation)

8290 UNIVERSITY AVE NE, SUITE 300
FRIDLEY, MN 55432

Anoka County (717) 975-4503

DR. ROBIN C CRANDALL M.D.

Orthopaedic Surgery

8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 786-9543

DR. JOSEPH FLAKE M.D.

Orthopaedic Surgery

8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 786-9543

JEANNE LOUISE LUCK RN, MSN, CFNP

Nurse Practitioner (Family)

8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 786-9543

JAMIE NASH KAIN PA-C

Physician Assistant (Surgical)

8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 786-9543

ANDREW JOHN COZADD PA-C

Physician Assistant

8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 786-9543

DR. RANDALL JOHN NORGARD MD

Orthopaedic Surgery

8290 UNIVERSITY AVE NE, FRIDLEY
FRIDLEY, MN 55432

Anoka County (763) 786-9543

NICOLE ANN WEIR PT

Physical Therapist

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 1972553741. It was assigned to this organization in the NPPES registry on May 11, 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 August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.