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AFFILIATED OTOLARYNGOLOGISTS PA
NPI 1912090390
Otolaryngology in Maple Grove, MN

Active since September 30, 2006
12000 ELM CREEK BLVD, #L20, MAPLE GROVE, MN 55369(763) 494-9882(763) 494-9883 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Affiliated Otolaryngologists Pa NPPES

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

AFFILIATED OTOLARYNGOLOGISTS PA (NPI 1912090390) is a healthcare organization registered as an otolaryngology in Maple Grove, Minnesota and active in the NPI registry since September 2006. The organization lists Elizabeth Eleanore Payne, Owner Director, as its authorized official.

NPPES Registry Identity

NPI1912090390
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameAFFILIATED OTOLARYNGOLOGISTS PA
Location Address12000 ELM CREEK BLVD, #L20Maple Grove, MN 55369-9883
Mailing Address12000 Elm Creek Blvd, #l20Maple Grove, MN 55369-7163 · (763) 494-9882 · Fax (763) 494-9883
Phone(763) 494-9882
Fax(763) 494-9883
Organization SubpartNo
Authorized OfficialElizabeth Eleanore PayneOwner Director · (763) 494-9882
Enumeration DateSeptember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912090390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MN · 18878
Definition
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.
12000 ELM CREEK BLVD, Maple Grove, MN 55369
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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

Other Providers at the Same Location NPPES 6

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

ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
Dentist (Endodontics)
12000 ELM CREEK BLVD, SUITE 240
MAPLE GROVE, MN 55369
Hennepin County (763) 416-3619
RICHARD JOHN MORRIS M.D.
Allergy & Immunology (Allergy)
12000 ELM CREEK BLVD, SUITE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 420-1010
SOUND ZZZ MEDICAL EQUIPMENT
Durable Medical Equipment & Medical Supplies
12000 ELM CREEK BLVD, SUITE 360B
MAPLE GROVE, MN 55369
Hennepin County (763) 315-4300
NORTHSTAR NEUROLOGICAL CLINIC LTD
Psychiatry & Neurology (Neurology)
12000 ELM CREEK BLVD, SUITE 330
MAPLE GROVE, MN 55369
Hennepin County (763) 416-1400
LEILANI L LABELLE DDS MS
Dentist (Periodontics)
12000 ELM CREEK BLVD, #320
MAPLE GROVE, MN 55369
Hennepin County (763) 420-0200
ABIGAIL MARIE CARHILL MA, CCC-SLP
Speech-Language Pathologist
12000 ELM CREEK BLVD, SUITE 210- NORTH MEMORIAL REHAB SERVICES
MAPLE GROVE, MN 55369
Hennepin County (763) 520-4916

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 Affiliated Otolaryngologists PA's NPI number?

The NPI number for Affiliated Otolaryngologists PA is 1912090390. It was assigned to this organization in the NPPES registry on September 30, 2006.

Where is Affiliated Otolaryngologists PA located?

Affiliated Otolaryngologists PA is located at 12000 Elm Creek Blvd #l20, Maple Grove, MN 55369. The listed phone number is (763) 494-9882.

What is Affiliated Otolaryngologists PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Affiliated Otolaryngologists PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.