Organization
PRIMARY ENT, L.L.C.
Active
Organization
PRIMARY ENT, L.L.C.
Active
Other names
Primary ENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LUTHER BOONE MD (OWNER/PRESIDENT)
(612) 406-9966
Entity
Organization
Contact information
Practice address
14020 HWY 13 S STE 350, SAVAGE, MN 55378-7103
(952) 395-2500
(952) 395-2501
Mailing address
6021 NORTHWOOD RDG, BLOOMINGTON, MN 55438-1282
(612) 406-9966
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609035781
—
TX
Enumeration date
06/13/2022
Last updated
11/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up