ADVANCED SPECIALTY ASSOCIATES – NPI #1265583652
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

Health Care Provider Taxonomy Code for Otolaryngology

ADVANCED SPECIALTY ASSOCIATES is an otolaryngologist located in BAXTER, MN. NPPES has assigned the NPI number 1265583652 to ADVANCED SPECIALTY ASSOCIATES on January 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED SPECIALTY ASSOCIATES” is a dba name, the actual legal business name for this organization is ADVANCED SPECIALTY ASSOCIATES, LTD. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 3 years ago on Sep 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED SPECIALTY ASSOCIATES below.

NPI Profile for
ADVANCED SPECIALTY ASSOCIATES, LTD

NPI Number
1265583652
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED SPECIALTY ASSOCIATES, LTD
Doing Business As (dba): ADVANCED SPECIALTY ASSOCIATES
Other name(s)
All associated names:
Doing Business As (dba)
ADVANCED SPECIALTY ASSOCIATES
Former Legal Business Name
Kurtis A Waters MD PA
Primary location
13359 ISLE DR
SUITE 1
BAXTER, MN 56425-2221
Phone: (218) 454-8888 Fax: (888) 835-7231
1 Other location(s):
720 Main St Ste 209
Mendota Heights, MN 55118-1800
Phone: (612) 464-5239
Fax: (651) 414-0565
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KURTIS WATERS
DIRECTOR
Phone: (218) 454-8888
Updated
Certification Date
Sep 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED SPECIALTY ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELD MNMN422K7WA
medicaidMN930218200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)		 MN 37843

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
13359 ISLE DR,
BAXTER, MN 77025-1669