Active NPI
Stephen L Liston, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 23911
- Practice address
- 347 Smith Ave N
Ste 602
Saint Paul, MN 55102-2387 - Phone
- (651) 227-0821
- Fax
- (651) 297-6597
- NPI assigned
- Aug 24, 2005
- 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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 23911 | MN | Primary |
Addresses
Primary practice location
347 Smith Ave N
Ste 602
Saint Paul, MN 55102-2387
Mailing address
2211 Park Ave
Minneapolis, MN 55404-3711
Phone (612) 871-1144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001957 | Other | MN | MEDICA CHOICE |
| 100653 | Other | MN | UCARE |
| 1001957 | Other | MN | MEDICACHOICE |
| 20939 | Other | MN | AMERICA'S PPO |
| 1000010 | Other | MN | MEDICA PRIMARY |
| 572001 | Other | MN | PREFERRED ONE |
| 38T53LI | Other | MN | BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose & Throat Specialty Care of Minnesota PA | Current | Accepting new patients |
Locations
9550 Upland Ln N
Ste 200
Maple Grove, MN 55369
Phone (612) 871-1144
2211 Park Ave
Minneapolis, MN 55404
Phone (612) 871-1144
347 Smith Ave N
Ste 602
Saint Paul, MN 55102
Phone (651) 227-0821
6099 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 871-1144
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- St Louis Park, MN
- NPI 1336175744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841283843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144",
"fax_number": "612-871-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 SMITH AVE N",
"address_2": "STE 602",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022387",
"telephone_number": "651-227-0821",
"fax_number": "651-297-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISTON",
"first_name": "STEPHEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MN",
"license": "23911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "1001957",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100653",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICACHOICE",
"identifier": "1001957",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "20939",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "1000010",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "572001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "38T53LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.