Organization Active NPI

Minneapolis Otolaryngology PA

  • Otolaryngology Physician
  • Edina, MN
National Provider Identifier
1881632297
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MINNEAPOLIS OTOLARYNGOLOGY PA
Practice address
6525 France Ave S
Suite 325
Edina, MN 55435-2148
Phone
(952) 920-4595
Fax
(952) 920-7958
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Thomas Ayre, M.D.NPI 1063476323
Title
President
Phone
(952) 920-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

6525 France Ave S
Suite 325
Edina, MN 55435-2148

Mailing address

6525 France Ave S
Suite 325
Edina, MN 55435-2148
Phone (952) 920-4595

National Provider Directory

National Provider Directory

Locations

600 W 98th St
Ste 120
Bloomington, MN 55420
Phone (952) 885-6150

625 E Nicollet Blvd
Ste 204
Burnsville, MN 55337
Phone (952) 435-0361

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1881632297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S",
            "address_2": "SUITE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352148",
            "telephone_number": "952-920-4595",
            "fax_number": "952-920-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S",
            "address_2": "SUITE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352148",
            "telephone_number": "952-920-4595",
            "fax_number": "952-920-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS OTOLARYNGOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "AYRE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-4595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.