PLYMOUTH ORTHOPEDIC SURGERY CENTER – NPI #1477242154
Clinic/Center

PLYMOUTH ORTHOPEDIC SURGERY CENTER is an AHC clinic located in PLYMOUTH, MN. NPPES has assigned the NPI number 1477242154 to PLYMOUTH ORTHOPEDIC SURGERY CENTER on May 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PLYMOUTH ORTHOPEDIC SURGERY CENTER” is a dba name, the actual legal business name for this organization is PLYMOUTH ORTHOPEDIC SURGERY CENTER LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jun 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLYMOUTH ORTHOPEDIC SURGERY CENTER below.

NPI Profile for
PLYMOUTH ORTHOPEDIC SURGERY CENTER LLC

NPI Number
1477242154
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLYMOUTH ORTHOPEDIC SURGERY CENTER LLC
Doing Business As (dba): PLYMOUTH ORTHOPEDIC SURGERY CENTER
Primary location
16800 37TH PLACE N
PLYMOUTH, MN 55446
Phone: (952) 512-5600 Fax:
Mailing address
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 55431-4442
Phone: Fax:
Organization Subpart
No
Authorized Official
RYAN HESS
MEDICAL DIRECTOR
Phone: (763) 520-7870
Updated
Certification Date
Jun 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.