Ridgeview Clinics

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25217 Issued in MN

Legal business name

RIDGEVIEW CLINICS

Doing business as

Minnesota Otolaryngology

Practice address

301 2ND St NE
New Prague, MN 56071-1709

Phone

(952) 578-4431

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Besse

Title

Operations MGR

Phone

(952) 495-2000

Specialties & licenses 1

Addresses

Other names 1

• Minnesota Otolaryngology Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255483764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-578-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-578-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "952-495-2000"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "25217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly R Penkert, ATC
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• Otolaryngology Physician in New Prague, MN
• Providers in New Prague, MN by specialty
• Otolaryngology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.