NEOSOM CLINICS DBA ENT & SLEEP MEDICINE (NPI# 1518270883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518270883 |
| Entity Type | Organization |
| Organization Name | NEOSOM CLINICS DBA ENT & SLEEP MEDICINE |
| Practice Address |
7261 Ohms Ln Edina MN 55439-2148 |
| Mailing Address |
700 Medical Center Dr Suite 101 Newton KS 67114-9013 |
| Practice Telephone | 6124650123 |
| Practice Fax Number | 9528434301 |
| Mailing Telephone | 3162832828 |
| Mailing Fax Number | 3162832830 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | BARRY PAUL KIMBERLEY (PRESIDENT) |
| Authorized Official Telephone | 6124650123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 04-32263 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200577150A | 05 |
| Street Address |
7261 OHMS LN |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337154 | Robert L Gauthier | Specialist | 7261 Ohms Ln, Edina, MN 55439-2148 | 2006-02-24 |
| 1326257452 | Northwest Suburban Urology, P.a. | Internal Medicine | 7261 Ohms Ln, Edina, MN 55439-2148 | 2007-05-22 |
| 1518187434 | Maple Medical Center | Internal Medicine | 7261 Ohms Ln, Edina, MN 55439-2148 | 2007-04-26 |
| 1871558734 | Minnesota Anesthesia Specialty Services | Specialist | 7261 Ohms Ln, Edina, MN 55439-2148 | 2006-04-20 |
| 1912962564 | Cervical Spine Specialists | Specialist | 7261 Ohms Ln, Edina, MN 55439-2148 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| 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 |
|---|---|---|---|---|
| 1801004866 | Sofia Lyford-pike | Otolaryngology | 7373 France Ave S Ste 410, Edina, MN 55435-4538 | 2007-05-21 |
| 1225105927 | Lisa A Posey | Otolaryngology | 6525 France Avenue S, Ste 25, Edina, MN 55435-4538 | 2006-11-29 |
| 1881708030 | The Ear, Nose and Throat Clinic and Hearing Center, P.a. | Otolaryngology | 7300 France Ave S Ste 420, Edina, MN 55435-4504 | 2006-08-17 |
| 1386030880 | Tyler Mingo | Otolaryngology | 7300 France Ave S Ste 420, Edina, MN 55435-4504 | 2015-04-10 |
| 1295879567 | Robert Daniel Silver | Otolaryngology | 6525 France Ave S, Ste 325, Edina, MN 55435-4538 | 2007-02-19 |
| 1427121284 | Craig B Anderson | Otolaryngology | 7373 France Avenue S, Ste 302, Edina, MN 55435-4538 | 2006-11-17 |
| 1881767648 | Robert H Rosenberg | Otolaryngology | 7373 France Avenue S, Ste 302, Edina, MN 55435-4538 | 2006-11-17 |
| 1528131380 | Southdale Otolaryngology Pa | Otolaryngology | 7373 France Avenue S, Ste 302, Edina, MN 55435-4538 | 2006-11-17 |
| 1710996921 | Jaspreet K Prischmann | Otolaryngology | 5201 Eden Ave, Suite 170, Edina, MN 55436-2316 | 2006-08-05 |
| 1881632297 | Minneapolis Otolaryngology Pa | Otolaryngology | 6525 France Ave S, Suite 325, Edina, MN 55435-2148 | 2006-06-04 |
| Find all providers in EDINA | ||||
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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.