ADVANCED SPECIALTY ASSOCIATES
NPI 1265583652
Otolaryngology - Facial Plastic Surgery in Baxter, MN

NPI Status: Active since January 15, 2007

Contact Information

13359 ISLE DR
SUITE 1
BAXTER, MN
ZIP 56425
Phone: (218) 454-8888
Fax: (888) 835-7231

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  • Organization
  • Otolaryngology
  • Facial Plastic Surgery
  • Accepts Insurance

About ADVANCED SPECIALTY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Advanced Specialty Associates, a provider established in Baxter, Minnesota operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1265583652 assigned on January 2007. The practitioner's primary taxonomy code is 207YS0123X with license number 37843 (MN). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Advanced Specialty Associates. The authorized official of this NPI record is Dr. Kurtis Allen Waters M.d. (Director)

NPI
1265583652
Provider Legal Name
ADVANCED SPECIALTY ASSOCIATES, LTD
Other Organization Name
ADVANCED SPECIALTY ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13359 ISLE DR SUITE 1 BAXTER, MN 56425
Location Phone
(218) 454-8888
Location Fax
(888) 835-7231
Mailing Address
13359 ISLE DR SUITE 1 BAXTER, MN 56425
Mailing Phone
(218) 454-8888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2007
Last Update Date
09-19-2023
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Location Map

Secondary Locations

  • 720 Main St Ste 209
    Mendota Heights, MN 55118
    (612) 464-5239

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
License No.
37843
License State
MN
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KURTIS ALLEN WATERS M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(218) 454-8888

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
930218200MEDICAID (05)MN 
422K7WAOTHER (01)MNBLUE CROSS BLUE SHIELD MN

Reviews for ADVANCED SPECIALTY ASSOCIATES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265583652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 0 + 8 + 6 + 6 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1265583652.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Otolaryngology
13359 ISLE DR, SUITE 1
BAXTER, MN 56425
Physician Assistant (Medical)
13359 ISLE DR, SUITE 3
BAXTER, MN 56425
Otolaryngology
13359 ISLE DR, STE 1
BAXTER, MN 56425
Dermatology
13359 ISLE DR, SUITE 3
BAXTER, MN 56425
Clinic/Center
13359 ISLE DR, STE 3
BAXTER, MN 56425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265583652, enumerated as an "organization" on January 15, 2007.

The provider is located at 13359 ISLE DR SUITE 1 BAXTER, MN 56425 and the phone number is (218) 454-8888.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.