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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 20 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICARE PTAN C00273 | 1821195959 | 01 |
MN | 1821195959 | 05 |
Other Name | Type Code |
---|---|
Midwest Ear, Nose & Throat Specialists | Doing Business As Name - Organization |
Street Address |
2080 WOODWINDS DR STE 240 |
City | WOODBURY |
State | MN |
Zip Code | 55125-2539 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55125 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
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 |
Find all providers in WOODBURY |
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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.