OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,.


Address: 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539
Phone: 6517020750

OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,. (NPI# 1609019363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609019363
Entity Type Organization
Organization Name OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,.
Other Organization Name MIDWEST EAR, NOSE & THROAT SPECIALISTS
Practice Address 2080 Woodwinds Dr Ste 240
Woodbury
MN 55125-2539
Mailing Address 2080 Woodwinds Dr Ste 120
Woodbury
MN 55125-2524
Practice Telephone 6517020750
Practice Fax Number 6516456166
Mailing Telephone 6517020750
Mailing Fax Number 6516456166
Enumeration Date 2009-04-10
Last Update Date 2009-04-10
Authorized Official Name DR. BARBARA N. MALONE (PRESIDENT)
Authorized Official Telephone 6517020750
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 20 MN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN MEDICARE PTAN C00273 1821195959 01
MN 1821195959 05

Other Provider/Organization Names

Other Name Type Code
Midwest Ear, Nose & Throat Specialists Doing Business As Name - Organization

Office Location

Street Address 2080 WOODWINDS DR STE 240
City WOODBURY
State MN
Zip Code 55125-2539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831162601 Geoffrey J Service Otolaryngology 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2006-02-10
1063843761 Erin Foster Audiologist 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2013-12-05
1720412935 Kelli N Willems Physician Assistant 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2013-08-23
1487093399 Daniel John-martin Carroll Otolaryngology 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2013-06-25
1336494046 Jena Elaine Onarheim Registered Nurse 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2012-07-18
1780942243 Angela Vong Otolaryngology 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125 2012-05-02
1144451691 Jamie Katherine Flohr Otolaryngology 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2009-07-31
1902034069 Monica Katherine Kimitch Audiologist 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2009-06-29
1922217991 John C. Moore Internal Medicine 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2007-05-22
1396763694 Carrie A Bell Audiologist 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 2006-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268728 Haley Kirkpatrick Behavior Technician 721 Commerce Dr., Woodbury, MN 55125 2020-09-03
1689218091 Jordan Schmidt Student in an Organized Health Care Education/Training Program 1740 Welr Dr. #24, Woodbury, MN 55125 2019-10-30
1629619580 Mackenzie Ann Funke Occupational Therapist 721 Commerce Drivve, Woodbury, MN 55125 2019-10-02
1700342029 Darcy Stivland Counselor 1811 Weir Drive #270, Woodbury, MN 55125 2019-02-11
1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
1528573664 Cory Lee Baumeister Counselor 652 Bielenberg Dr, Woodbury, MN 55125 2017-12-12
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
1518415736 Kubei Holdings Group LLC Case Management 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 2016-09-16
1285087072 Adrian Jung Occupational Therapist 155 Radio Drive, Woodbury, MN 55125 2016-07-18
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366900391 Custom Healthcare, LLC Durable Medical Equipment & Medical Supplies 410 Dromedary St, Woodbury, GA 30293-3560 2019-03-08
1972084044 Fairview Health Services Durable Medical Equipment & Medical Supplies 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 2018-08-27
1134478829 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1811 Weir Dr Ste 275, Woodbury, MN 55125-2201 2012-09-10
1477812287 Soho Hair and Wigs Durable Medical Equipment & Medical Supplies 755 Bielenberg Dr, Suite 104, Woodbury, MN 55125-4433 2012-05-14
1871812032 Integrated Dme LLC Durable Medical Equipment & Medical Supplies 2818 Eagle Valley Dr, Woodbury, MN 55129-4263 2010-05-26
1700010170 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 820 Cooper St, Woodbury, NJ 08096-2598 2009-05-13
1023269834 S & K Alternatives, LLC Durable Medical Equipment & Medical Supplies 7030 Valley Creek Plz Ste 113, Woodbury, MN 55125-2267 2008-10-10
1336317247 Liberty Oxygen and Home Care, Inc Durable Medical Equipment & Medical Supplies 1815 Radio Dr, Woodbury, MN 55125-9415 2008-02-13
1265562292 Angelini Optics, Inc. Durable Medical Equipment & Medical Supplies 1788 Clements Bridge Rd, Woodbury, NJ 08096-2010 2007-03-07
1023164779 Jaymark Medical Durable Medical Equipment & Medical Supplies 369 Adams Ridge Ln, Woodbury, TN 37190-6505 2007-01-26
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Competitor

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City WOODBURY
Zip Code 55125

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Dataset Information

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.

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