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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: August 30, 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
Phone(651) 702-0750
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
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Other Names 1

Doing Business AsMidwest Ear, Nose & Throat Specialists

Secondary Practice Locations 4

Location 12651 Hillcrest Dr Ste 302Hudson, WI 54016-9919 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 211020 161st Street WestLakeville, MN 55044 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 33590 Arcade StVadnais Heights, MN 55127-7135 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 43460 Promenade AveEagan, MN 55123-4404 · 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.

MR. RICHARD G KARLEN MD
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
MR. CHRISTOPHER JOHN TOLAN MD
Otolaryngology (Facial Plastic Surgery)
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
ERIN MARY WYNINGS-KEATY MD
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
DR. JAMIE KATHERINE FLOHR M.D.
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
TYLA HUGHES
Physician Assistant (Medical)
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
DAVID PONTIUS PA-C
Physician Assistant
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
THOMAS ASPER
Audiologist
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
MRS. AMANDA R SALMON AUD CCC A
Audiologist
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750

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 Otolaryngology Head & Neck Surgery, P.A.'s NPI number?

The NPI number for Otolaryngology Head & Neck Surgery, P.A. is 1609019363. It was assigned to this organization in the NPPES registry on April 10, 2009. The provider is doing business as Midwest Ear, Nose & Throat Specialists.

Where is Otolaryngology Head & Neck Surgery, P.A. located?

Otolaryngology Head & Neck Surgery, P.A. is located at 217 Radio Dr, Woodbury, MN 55125. The listed phone number is (651) 702-0750.

What is Otolaryngology Head & Neck Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Otolaryngology Head & Neck Surgery, P.A. was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.