Active NPI
Anodyne, Inc.
- Durable Medical Equipment & Medical Supplies
- Minnetonka, MN
National Provider Identifier
1376507061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773232 | Other | MN | AMERICA'S PPO |
| 0987065 | Medicaid | IA | |
| 104225 | Other | MN | UCARE |
| 39026 | Other | WAUSAU BENEFITS | |
| 403363900 | Medicaid | MN | |
| 59255AN | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 8200161 | Other | MN | MEDICA MSHO |
| 403363900 | Other | MN | MN COUNTY WAIVERED SVCS. |
| 8200161 | Other | MN | MEDICACHOICE |
| 130869 | Other | MN | HENNEPIN COUNTY WAIVERED |
| 52190 | Other | MN | SPECIALTY RISK SERVICES |
| 76185C001 | Other | CHAMPUS | |
| 106040400 | Other | ACS FEDERAL WORKERS COMP | |
| 1411901281 | Other | MN | PRIME WEST |
| 41682300 | Medicaid | WI | |
| 1040355 | Other | MN | PREFERREDONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031946 | MN | DME Supplier - Medical Supply Company | 8022137710 | Practice locations: Minnetonka, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Anodyne, Inc. | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.