Provider Demographics
NPI:1073569513
Name:ST ANTHONY ORTHOPAEDIC SPECIALISTS PA
Entity Type:Organization
Organization Name:ST ANTHONY ORTHOPAEDIC SPECIALISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIOE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-287-5791
Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:#222
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-602-0101
Mailing Address - Fax:651-602-0035
Practice Address - Street 1:17 EXCHANGE ST W
Practice Address - Street 2:#222
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1045
Practice Address - Country:US
Practice Address - Phone:651-602-0101
Practice Address - Fax:651-602-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN028081207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty