Active NPI
Stephen D Asp, MD
- Otolaryngology Physician
- Fergus Falls, MN
National Provider Identifier
1841235140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 27793
- Practice address
- 712 South Cascade Street
Fergus Falls, MN 56537-2813 - Phone
- (218) 736-8000
- Fax
- (218) 739-6742
- NPI assigned
- Jun 19, 2006
- Last updated
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 27793 | MN | Primary |
Addresses
Primary practice location
712 South Cascade Street
Fergus Falls, MN 56537-2813
Mailing address
712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone (218) 736-8000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120252 | Other | MN | SDA UCARE # |
| 724867900 | Medicaid | MN | |
| 040013395 | Other | MN | SDA MEDICARE RR # |
| 14432 | Medicaid | ND | |
| 410917444 | Other | MN | SDA-ONE HEALTH PLAN |
| 62D50AS | Other | MN | SDA BCBS # |
| 10-07748 | Other | MN | MEDICA-ASP |
| 1008274 | Other | MN | SDA PREFERRED ONE # |
| HP21423 | Other | MN | SDA HEALTHPARTNERS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27793 | MN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fergus Falls Medical Group, P.a. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fergus Falls, MN
- NPI 1285676031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1841235140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-739-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-739-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASP",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "27793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA UCARE #",
"identifier": "120252",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "724867900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA MEDICARE RR #",
"identifier": "040013395",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14432",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA-ONE HEALTH PLAN",
"identifier": "410917444",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA BCBS #",
"identifier": "62D50AS",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-ASP",
"identifier": "10-07748",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA PREFERRED ONE #",
"identifier": "1008274",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDA HEALTHPARTNERS #",
"identifier": "HP21423",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.