# SUMMIT ORTHOPEDICS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760614242
- **Authorized official:** MR. JOHN BIEN (CFO)
- **Authorized official phone:** (651) 968-5870

## Contact information

- **Practice address:** 2090 WOODWINDS DR, WOODBURY, MN 55125-2522
- **Practice address phone:** (651) 968-5801
- **Practice address fax:** (651) 968-5899
- **Mailing address:** 710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
- **Mailing address phone:** (651) 968-5042
- **Mailing address fax:** (651) 968-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 10/01/2020