Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suburban Emergency Associates, PA

Organization Emergency Medicine Physician · NPI 1134173628

Suburban Emergency Associates, PA is an Emergency Medicine Physician in Shakopee, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone: (952) 403-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1134173628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Roman — President · (952) 403-3000
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 46100, Plymouth, MN 55446-0100

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