EAR NOSE & THROAT SPECIALTY CARE OF MINNESOTA PA
NPI 1336175744
Otolaryngology in St Louis Park, MN

NPI Status: Active since June 25, 2006

Contact Information

6099 WAYZATA BLVD STE 200
ST LOUIS PARK, MN
ZIP 55416
Phone: (612) 871-1144
Fax: (612) 871-2012

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  • Organization
  • Otolaryngology
  • Accepts Insurance
  • CLIA Number: 24D2281084
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-01-2027

About EAR NOSE & THROAT SPECIALTY CARE OF MINNESOTA PA

This page provides the complete NPI Profile along with additional information for Ear Nose & Throat Specialty Care Of Minnesota Pa, a provider established in St Louis Park, Minnesota operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1336175744 assigned on June 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated February 2025. Ear Nose & Throat Specialty Care Of Minnesota Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Marcy Jablonski (Business Office Manager)

NPI
1336175744
Provider Legal Name
EAR NOSE & THROAT SPECIALTY CARE OF MINNESOTA PA
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6099 WAYZATA BLVD STE 200 ST LOUIS PARK, MN 55416
Location Phone
(612) 871-1144
Location Fax
(612) 871-2012
Mailing Address
6099 WAYZATA BLVD STE 200 ST LOUIS PARK, MN 55416
Mailing Phone
(612) 871-1144
Mailing Fax
(612) 871-2012
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2006
Last Update Date
02-06-2025
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Location Map

Secondary Locations

  • 9822 Hospital Dr
    Maple Grove, MN 55369
    (612) 871-1144
  • 6525 France Ave S Ste 325
    Edina, MN 55435
    (612) 871-1144
  • 14101 Fairview Dr Ste 340
    Burnsville, MN 55337
    (612) 871-1144
  • 3960 Coon Rapids Blvd NW Ste 104
    Coon Rapids, MN 55433
    (612) 871-1144

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCY JABLONSKI

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(952) 236-1692

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
234810100MEDICAID (05)MN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2281084
Facility Type
Physician Office
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
KELLY J. NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ear Nose & Throat Specialty Care Of Minnesota Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EAR NOSE & THROAT SPECIALTY CARE OF MINNESOTA PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336175744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366271078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 7 + 1 + 0 + 7 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1336175744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457881930MRS. JENNA LAUREL RAMLER PA
Individual
Physician Assistant6099 WAYZATA BLVD STE 200
ST LOUIS PARK, MN 55416
(612) 871-1144
1902020886MS. JANE ELIZABETH CHANDLER M.A., CCC-SLP
Individual
Speech-Language Pathologist6099 WAYZATA BLVD STE 200
ST LOUIS PARK, MN 55416
(612) 871-1144
1669932216 ZACHARY MICHAEL HELMEN
Individual
Otolaryngology6099 WAYZATA BLVD STE 200
ST LOUIS PARK, MN 55416
(612) 871-1144
1639242944DR. CHAD E GALER M.D.
Individual
Otolaryngology6099 WAYZATA BLVD STE 200
ST LOUIS PARK, MN 55416
(952) 232-4416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336175744, enumerated in the NPI registry as an "organization" on June 25, 2006

The provider is located at 6099 Wayzata Blvd Ste 200 St Louis Park, Mn 55416 and the phone number is (612) 871-1144

This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D2281084 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.