OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
NPI 1609019363
Durable Medical Equipment & Medical Supplies in Woodbury, MN
NPI Status: Active since April 10, 2009
Contact Information
217 RADIO DR
WOODBURY, MN
ZIP 55125
Phone: (651) 702-0750
Fax: (651) 645-6166
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D2297134
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-10-2026
About OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
This page provides the complete NPI Profile along with additional information for Otolaryngology Head & Neck Surgery, P.a., a provider established in Woodbury, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609019363 assigned on April 2009. The practitioner's primary taxonomy code is 332B00000X with license number 20 (MN). The provider is registered as an organization and their NPI record was last updated February 2025. The provider's
- NPI
- 1609019363
- Provider Legal Name
- OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 217 RADIO DR WOODBURY, MN 55125
- Location Phone
- (651) 702-0750
- Location Fax
- (651) 645-6166
- Mailing Address
- 215 RADIO DR STE 202 WOODBURY, MN 55125
- Mailing Phone
- (651) 702-0750
- Mailing Fax
- (651) 645-6166
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2009
- Last Update Date
- 02-26-2025
- Code Navigator
Location Map
Secondary Locations
- 11020 161st Street West
Lakeville, MN 55044
(651) 702-0750 - 2651 Hillcrest Dr Ste 302
Hudson, WI 54016
(651) 702-0750 - 3460 Promenade Ave
Eagan, MN 55123
(651) 702-0750 - 3590 Arcade St
Vadnais Heights, MN 55127
(651) 702-0750
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 20
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 1821195959 | MEDICAID (05) | MN | |
| 1821195959 | OTHER (01) | MN | MEDICARE PTAN C00273 |
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
- 52D2297134
- Facility Type
- Physician Office
- Certificate Effective Date
- January 11, 2024
- Certificate Expiration Date
- January 10, 2026
- Laboratory Director
- DR. ERIC BECKEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Otolaryngology Head & Neck Surgery, P.a. 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 OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
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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. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 1 | 9 | 3 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 1 | 18 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 1 + 1 + 8 + 3 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1609019363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588754584 | MIDWEST ANCILLARY SERVICES, INC Organization | Hearing Aid Equipment | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1154909513 | TYLA HUGHES Individual | Physician Assistant (Medical) | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1912369141 | ALICE RINGHEIM KNOEDLER Individual | Allergy & Immunology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1093212011 | ERIN MARY WYNINGS-KEATY MD Individual | Otolaryngology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1538521869 | ANNA BAKEMAN Individual | Otolaryngology (Facial Plastic Surgery) | 217 RADIO DR WOODBURY, MN 55125 (651) 632-9700 |
| 1841784097 | DR. SEBASTIAN J SCIEGIENKA MD Individual | Otolaryngology (Facial Plastic Surgery) | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1013953371 | MR. RICHARD G KARLEN MD Individual | Otolaryngology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1194426254 | DAVID PONTIUS PA-C Individual | Physician Assistant | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1194443614 | THOMAS ASPER Individual | Audiologist | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1265001242 | MS. AMY WEBER FNP Individual | Nurse Practitioner | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1275822686 | JENNIFER ERIN BOECKMAN D.O. Individual | Student in an Organized Health Care Education/Training Program | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1417253212 | SARA LYNN STERLING PA-C Individual | Physician Assistant | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1457307316 | KRISTIN GENDRON M.D. Individual | Otolaryngology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1760547269 | MS. AMANDA JO PETRI M.A. Individual | Audiologist | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1780942243 | ANGELA VONG M.D. Individual | Otolaryngology (Pediatric Otolaryngology) | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1821195959 | OTOLARYNGOLOGY & HEAD & NECK SURGERY, P.A. Organization | Otolaryngology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
| 1902394406 | KELLY LANDEEN MD Individual | Otolaryngology | 217 RADIO DR WOODBURY, MN 55125 (651) 702-0750 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609019363, enumerated in the NPI registry as an "organization" on April 10, 2009
The provider is located at 217 Radio Dr Woodbury, Mn 55125 and the phone number is (651) 702-0750
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider might be accepting Accepts: 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 52D2297134 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 April 10, 2009. 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].
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