NPIMap

Organization Active NPI

Midwest Ear, Nose & Throat Associates P C

  • Otolaryngology Physician
  • Sioux Falls, SD
National Provider Identifier
1003871419
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MIDWEST EAR, NOSE & THROAT ASSOCIATES P C
Practice address
2315 W 57TH St
Sioux Falls, SD 57108
Phone
(605) 336-3503
Fax
(605) 336-6010
NPI assigned
Apr 19, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise D Snoozy
Title
Business Office Manager
Phone
(605) 275-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

2315 W 57TH St
Sioux Falls, SD 57108

Mailing address

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

Other identifiers 4

IdentifierTypeStateIssuer
9214052OtherSDDAKOTACARE
504101500MedicaidMN
271R7MIOtherMNBLUE SHIELD
4996180OtherSDBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031105000117 SD Part B Supplier - Clinic/Group Practice 8729990940 Receives reassigned benefits from 15 practitioners
Practice locations: Sioux Falls, SD
O20040217001072 IA Part B Supplier - Clinic/Group Practice 8729990940 Receives reassigned benefits from 2 practitioners
Practice locations: Rock Valley, IA; Spirit Lake, IA
O20050818000902 MN Part B Supplier - Clinic/Group Practice 8729990940 Receives reassigned benefits from 5 practitioners
Practice locations: Pipestone, MN; Worthington, MN

National Provider Directory

National Provider Directory

Locations

172 4th St SE
Ste 401
Huron, SD 57350
Phone (605) 353-6575

2315 W 57th St
Sioux Falls, SD 57108
Phone (605) 336-3503

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1003871419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EAR, NOSE & THROAT ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SNOOZY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-275-1211"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9214052",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504101500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "271R7MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4996180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.