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St. Cloud Ear, Nose & Throat Clinic, P.A.

NPI 1508882754ActiveOrganization· Otolaryngology· Saint Cloud, MN

Otolaryngology in Saint Cloud, Minnesota, registered in NPPES in July 2006. The authorized official on file is Amanda Rae Ressemann, Business Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1508882754
StatusActive
Entity typeOrganization
NPI issuedJul 14, 2006
Last updated in NPPESJul 3, 2025
Certified by providerJul 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Otolaryngology Primary207Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

Other otolaryngologists in Saint Cloud

All otolaryngologists in Minnesota