OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
NPI 1609019363
Durable Medical Equipment & Medical Supplies in Woodbury, MN

Active since April 10, 2009
217 RADIO DR, WOODBURY, MN 55125(651) 702-0750(651) 645-6166 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Otolaryngology Head & Neck Surgery, P.a. NPPES

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

OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A. (NPI 1609019363), doing business as Midwest Ear, Nose & Throat Specialists, is a healthcare organization registered as a durable medical equipment & medical supplies in Woodbury, Minnesota and active in the NPI registry since April 2009. The organization maintains 4 additional practice locations and lists Anthony Benusa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609019363
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOTOLARYNGOLOGY HEAD & NECK SURGERY, P.A.
Location Address217 RADIO DRWoodbury, MN 55125-5805
Mailing Address215 Radio Dr Ste 202Woodbury, MN 55125-5822 · (651) 702-0750 · Fax (651) 645-6166
Fax(651) 645-6166
Organization SubpartNo
Authorized OfficialAnthony BenusaCeo · (651) 702-0750
Enumeration DateApril 10, 2009
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1609019363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in MN · 20
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

217 RADIO DR, Woodbury, MN 55125

Other Names 1

Doing Business AsMidwest Ear, Nose & Throat Specialists

Secondary Practice Locations 4

Location 111020 161st Street WestLakeville, MN 55044 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 22651 Hillcrest Dr Ste 302Hudson, WI 54016-9919 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 33460 Promenade AveEagan, MN 55123-4404 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 43590 Arcade StVadnais Heights, MN 55127-7135 · Phone (651) 702-0750 · Fax (651) 645-6166

Other Identifiers 2

Medicaid1821195959MN
Other1821195959MN · Medicare Ptan C00273

Other Providers at the Same Location NPPES 20

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

Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Otolaryngology (Facial Plastic Surgery)
217 RADIO DR
WOODBURY, MN 55125
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Physician Assistant (Medical)
217 RADIO DR
WOODBURY, MN 55125
Physician Assistant
217 RADIO DR
WOODBURY, MN 55125
Audiologist
217 RADIO DR
WOODBURY, MN 55125
Audiologist
217 RADIO DR
WOODBURY, MN 55125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609019363, enumerated as an "organization" on April 10, 2009.

The provider is located at 217 RADIO DR WOODBURY, MN 55125 and the phone number is (651) 702-0750.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.