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Organization

Otolaryngology & Head & Neck Surgery, P.A.

NPI Record: ActiveOtolaryngology
NPI1821195959
Woodbury, Minnesota

Provider's NPPES record last updated: December 9, 2025

Overview

Entity Type
Organization
NPI
1821195959
Primary Specialty
Otolaryngology
Practice Location
Woodbury, Minnesota
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:44 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207Y00000X
  • Internal Medicine

    Allergy & Immunology

    Allopathic & Osteopathic Physicians

    An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

    Taxonomy code 207RA0201X

Practice Locations

Practice Location

217 Radio Dr

Woodbury, Minnesota 55125-5805

Phone: (651) 702-0750

Additional Practice Location

11020 161st St W

Lakeville, Minnesota 55044-6507

Phone: (651) 702-0750

Fax: (651) 645-6166

Additional Practice Location

2651 Hillcrest Dr Ste 302

Hudson, Wisconsin 54016-9919

Phone: (651) 702-0750

Fax: (651) 645-6166

Additional Practice Location

3460 Promenade Ave

Eagan, Minnesota 55123-4404

Phone: (651) 702-0750

Fax: (651) 645-6166

Additional Practice Location

3590 Arcade St

Vadnais Heights, Minnesota 55127-7135

Phone: (651) 702-0750

Fax: (651) 645-6166

Other Names

  • Midwest ENT SpecialistsReported December 9, 2025
  • Midwest Ear, Nose & Throat SpecialistsReported December 9, 2025
  • Midwewst ENT SpecialistsReported September 20, 2006

Record Information

Enumeration Date
September 20, 2006
Provider's NPPES Record Last Updated
December 9, 2025
Certification Date
December 9, 2025
NPISignal NPPES Dataset
August 2026

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