Affiliated Otolaryngologists Pa in Maple Grove - Otolaryngology
Affiliated Otolaryngologists Pa - NPI 1912090390
Affiliated Otolaryngologists Pa is a Otolaryngology in Maple Grove, Minnesota. Affiliated Otolaryngologists Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Affiliated Otolaryngologists Pa is 1912090390. The last update date is 2020-08-22.
Affiliated Otolaryngologists Pa's current location address is 12000 Elm Creek Blvd, Maple Grove, Minnesota. You can contact this provider via phone number 7634949882 and fax number 7634949883. The mailing address for Affiliated Otolaryngologists Pa is 12000 Elm Creek Blvd, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Affiliated Otolaryngologists Pa |
|---|---|
| Address | 12000 Elm Creek Blvd, Maple Grove, Minnesota |
| Phone Number | 7634949882 |
| Fax Number | 7634949883 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DIRE |
|---|---|
| Authorized Official Name | Payne Eleanore Elizabeth |
| Credentials | MD |
| Telephone Number | 7634949882 |
NPI Number Detail
| NPI Number | 1912090390 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12000 Elm Creek Blvd |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553697163 |
| Phone Number | 7634949882 |
| Fax Number | 7634949883 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 18878 |
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Definition: 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 an |
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What is the unique identifier code issued to Affiliated Otolaryngologists Pa by the Centers for Medicare & Medicaid Services?
The Affiliated Otolaryngologists Pa has been assigned the NPI (National Provider Identifier) 1912090390. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Affiliated Otolaryngologists Pa?
The Affiliated Otolaryngologists Pa is physically situated at 12000 Elm Creek Blvd, in the city of Maple Grove, state of MN, with the postal code 553697163.
What is the Affiliated Otolaryngologists Pa's area of specialization and corresponding taxonomy classification?
The Affiliated Otolaryngologists Pa's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did Affiliated Otolaryngologists Pa receive its 1912090390 assignment?
The Affiliated Otolaryngologists Pa was assigned its 1912090390 on 2006-09-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Affiliated Otolaryngologists Pa most recently updated or revised?
The information pertaining to Affiliated Otolaryngologists Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1215930425
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