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

Active since January 15, 2007
13359 ISLE DR, SUITE 1, BAXTER, MN 56425(218) 454-8888(888) 835-7231 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2023, Oct 14, 2021 (2 updates tracked since 2021).

About Advanced Specialty Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPECIALTY ASSOCIATES (NPI 1265583652) is a healthcare organization registered as a facial plastic surgery in Baxter, Minnesota and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Mendota Heights and lists Kurtis Allen Waters, Director, as its authorized official.

NPPES Registry Identity

NPI1265583652
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameADVANCED SPECIALTY ASSOCIATES, LTD
Location Address13359 ISLE DR, SUITE 1Baxter, MN 56425-2221
Mailing Address13359 Isle Dr, Suite 1Baxter, MN 56425-2221 · (218) 454-8888
Phone(218) 454-8888
Fax(888) 835-7231
Organization SubpartNo
Authorized OfficialKurtis Allen WatersDirector · (218) 454-8888
Enumeration DateJanuary 15, 2007
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1265583652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MN · 37843
Definition
An otolaryngologist who specializes in facial plastic surgery.
13359 ISLE DR, Baxter, MN 56425
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Other Names 2

Doing Business AsAdvanced Specialty Associates
Former Legal Business NameKurtis A Waters Md Pa

Secondary Practice Location 1

Location 1720 Main St Ste 209Mendota Heights, MN 55118-1800 · Phone (612) 464-5239 · Fax (651) 414-0565

Other Identifiers 2

Medicaid930218200MN
Other422K7WAMN · Blue Cross Blue Shield Mn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ETHAN TERRY KRAFT M.D.
Otolaryngology
13359 ISLE DR, STE 1
BAXTER, MN 56425
Crow Wing County (218) 454-3077
DR. KURTIS ALLEN WATERS M.D.
Otolaryngology
13359 ISLE DR, SUITE 1
BAXTER, MN 56425
Crow Wing County (218) 454-8888
PAUL LUNDSTROM MD
Dermatology
13359 ISLE DR, SUITE 3
BAXTER, MN 56425
Crow Wing County (218) 454-7546
DERMATOLOGY PROFESSIONALS, PA
Clinic/Center
13359 ISLE DR, STE 3
BAXTER, MN 56425
Crow Wing County (218) 454-7546
MRS. NICOLE THERESE MANECKE PA
Physician Assistant (Medical)
13359 ISLE DR, SUITE 3
BAXTER, MN 56425
Crow Wing County (218) 454-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Specialty Associates, Ltd's NPI number?

The NPI number for Advanced Specialty Associates, Ltd is 1265583652. It was assigned to this organization in the NPPES registry on January 15, 2007. The provider is doing business as Advanced Specialty Associates. The provider was formerly known as Kurtis A Waters MD PA.

Where is Advanced Specialty Associates, Ltd located?

Advanced Specialty Associates, Ltd is located at 13359 Isle Dr Suite 1, Baxter, MN 56425. The listed phone number is (218) 454-8888.

What is Advanced Specialty Associates, Ltd's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

What insurance does Advanced Specialty Associates, Ltd accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Advanced Specialty Associates, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Specialty Associates, Ltd was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.