Organization Active NPI

Anodyne, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Minnetonka, MN
National Provider Identifier
1376507061
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANODYNE, INC.
Practice address
6024 Blue Circle Dr
Minnetonka, MN 55343-9104
Phone
(952) 546-5334
Fax
(952) 546-2657
NPI assigned
Apr 12, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Mr. William Joseph Marzolf Jr.
Title
President/Ceo
Phone
(952) 546-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MN Primary

Addresses

Primary practice location

6024 Blue Circle Dr
Minnetonka, MN 55343-9104

Mailing address

6024 Blue Circle Dr
Minnetonka, MN 55343-9104
Phone (952) 546-5334

Other identifiers 16

IdentifierTypeStateIssuer
773232OtherMNAMERICA'S PPO
0987065MedicaidIA
104225OtherMNUCARE
39026OtherWAUSAU BENEFITS
403363900MedicaidMN
59255ANOtherMNBLUE CROSS BLUE SHIELD MN
8200161OtherMNMEDICA MSHO
403363900OtherMNMN COUNTY WAIVERED SVCS.
8200161OtherMNMEDICACHOICE
130869OtherMNHENNEPIN COUNTY WAIVERED
52190OtherMNSPECIALTY RISK SERVICES
76185C001OtherCHAMPUS
106040400OtherACS FEDERAL WORKERS COMP
1411901281OtherMNPRIME WEST
41682300MedicaidWI
1040355OtherMNPREFERREDONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930031946 MN DME Supplier - Medical Supply Company 8022137710 Practice locations: Minnetonka, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anodyne, Inc.6024 Blue Circle Dr, Minnetonka, MN 55343-9104(952) 546-5334 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutane… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

6024 Blue Circle Dr
Minnetonka, MN 55343
Phone (952) 546-5334

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1376507061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 BLUE CIRCLE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439104",
            "telephone_number": "952-546-5334",
            "fax_number": "952-546-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 BLUE CIRCLE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439104",
            "telephone_number": "952-546-5334",
            "fax_number": "952-546-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MARZOLF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-546-5334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "773232",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987065",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "104225",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU BENEFITS",
            "identifier": "39026",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403363900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "59255AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MSHO",
            "identifier": "8200161",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN COUNTY WAIVERED SVCS.",
            "identifier": "403363900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICACHOICE",
            "identifier": "8200161",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HENNEPIN COUNTY WAIVERED",
            "identifier": "130869",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALTY RISK SERVICES",
            "identifier": "52190",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "76185C001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS FEDERAL WORKERS COMP",
            "identifier": "106040400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "1411901281",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41682300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1040355",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.