OrganizationActive
Wayzata Orthopedic'S P.A.
NPI 1164428223 · Orthopaedic Surgery Physician · Plymouth, MN
Provider details
- NPI number
- 1164428223
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Varecka, President(763) 383-0770
- License
- 22452 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2805 Campus Dr
Ste 425
Plymouth, MN 55441-2680
Phone: (763) 383-0770
Fax: (763) 383-0777
Street-level locationGet directions
Mailing address
2805 Campus Drive
Plymouth, MN 55441-2616
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2008-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.