ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.
NPI 1508882754
Otolaryngology in Saint Cloud, MN

NPI Status: Active since July 14, 2006

Contact Information

1528 NORTHWAY DR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-0233

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  • Organization
  • Otolaryngology
  • Accepts Insurance
  • CLIA Number: 24D0405700
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-31-2026

About ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for St. Cloud Ear, Nose & Throat Clinic, P.a., a provider established in Saint Cloud, Minnesota operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1508882754 assigned on July 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated one year 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 . The authorized official of this NPI record is Amanda Rae Ressemann (Business Office Manager)

NPI
1508882754
Provider Legal Name
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1528 NORTHWAY DR SAINT CLOUD, MN 56303
Location Phone
(320) 252-0233
Mailing Address
1528 NORTHWAY DR SAINT CLOUD, MN 56303
Mailing Phone
(320) 252-0233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2006
Last Update Date
07-03-2025
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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

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

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

AMANDA RAE RESSEMANN

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(320) 257-1167

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
55319CLOTHER (01)MNBLUE CROSS BLUE SHIELD
508208100MEDICAID (05)MN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0405700
Facility Type
Physician Office
Certificate Effective Date
February 01, 2024
Certificate Expiration Date
January 31, 2026
Laboratory Director
EMILY JACOBS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Cloud Ear, Nose & Throat Clinic, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1508882754, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 0 → 0 8 → 16 → 7 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 6 + 8 + 4 + 7 + 1 + 0 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1508882754.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Clinic/Center (Ambulatory Surgical)
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Speech-Language Pathologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Speech-Language Pathologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508882754, enumerated as an "organization" on July 14, 2006.

The provider is located at 1528 NORTHWAY DR SAINT CLOUD, MN 56303 and the phone number is (320) 252-0233.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: HealthPartners, Medica, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.