ANDROS ENT & SLEEP CENTER PA (NPI# 1487255022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487255022 |
| Entity Type | Organization |
| Organization Name | ANDROS ENT & SLEEP CENTER PA |
| Practice Address |
2780 Snelling Ave N Ste 201 Roseville MN 55113-7126 |
| Mailing Address |
5565 Blaine Ave Ste 225 Inver Grove Heights MN 55076-1239 |
| Practice Telephone | 6518887800 |
| Practice Fax Number | 6518887801 |
| Mailing Telephone | 6518887800 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | KRISTINA BAKER (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 6518887800 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDROS ENT AND SLEEP CENTER PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807491 | Andros Ent & Sleep Center Pa | Otolaryngology | 5565 Blaine Ave, Suite 225, Inver Grove Heights, MN 55076-1207 | 2012-11-15 |
| Street Address |
2780 SNELLING AVE N STE 201 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-7126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073931077 | Daniel In Chung | Otolaryngology | 1600 Eureka Rd # D, Roseville, CA 95661 | 2014-04-07 |
| 1942398847 | Lorre T Henderson | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2006-10-10 |
| 1407859168 | John Macri | Otolaryngology | 2 Medical Plaza, Ste 235, Roseville, CA 95661 | 2005-05-24 |
| 1336142009 | Randall A Ow | Otolaryngology | 2 Medical Plaza Dr, Ste 225 & 235, Roseville, CA 95661-3043 | 2005-05-24 |
| 1760725683 | Daniel Abraham Carlton | Otolaryngology | 2 Medical Plaza Dr Ste 225, Roseville, CA 95661-3044 | 2013-03-28 |
| 1629399126 | Stephanie A Austin | Otolaryngology | 3 Medical Plaza Dr, #220, Roseville, CA 95661-3087 | 2010-06-18 |
| 1700109030 | Aaron Anthony Centric | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2010-03-01 |
| 1073747663 | Tim Fife | Otolaryngology | 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3043 | 2009-05-11 |
| 1902078009 | Eric Youngkyoo Ro | Otolaryngology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2008-03-28 |
| 1477625200 | Robert Finn | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2006-11-15 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.