ENT & Sleep Clinics Minnesota LLC

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

License

28948 Issued in MN

Legal business name

ENT & SLEEP CLINICS MINNESOTA LLC

Practice address

14001 Ridgedale Dr
Suite 330
Minnetonka, MN 55305-1753

Phone

(612) 465-0123

Fax

(763) 404-7207

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Barry P Kimberley, M.D.NPI 1063417012

Title

Owner

Phone

(612) 490-7330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Barry Paul Kimberley, MD

  • Otolaryngology Physician
  • Newton, KS
  • NPI 1063417012

  Sleep Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1346512639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "address_2": "SUITE 230",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147808",
            "telephone_number": "316-283-2828",
            "fax_number": "316-283-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR",
            "address_2": "SUITE 330",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051753",
            "telephone_number": "612-465-0123",
            "fax_number": "763-404-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT & SLEEP CLINICS MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "KIMBERLEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-490-7330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "MN",
            "license": "28948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Engelkes, M.A., L.A.M.F.T.
• Brittany Nicole Engelmann
• Meagan Evelyn Englert
• Gordon Dale Engstrand, D.D.S.
• Melinda Jane Enright, LICSW
• Nam Yong Eom
• Epiphany Care Homes LLC (Steven's Residence)
• Equilibrium Brain Body Balance (Equilibrium)
• Ruth Anne Erdmann, MSCCC/SLP
• Cara A Ericksen, MSW, LICSW

• Otolaryngology Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Otolaryngology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.