Organization
THE EAR, NOSE AND THROAT CLINIC AND HEARING CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL TEDFORD MD (PRESIDENT)
(952) 832-5252
Entity
Organization
Contact information
Practice address
7300 FRANCE AVE S STE 420, EDINA, MN 55435-4504
(952) 832-5252
Mailing address
7300 FRANCE AVE S STE 420, EDINA, MN 55435-4504
(952) 832-5252
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150566
UCARE
—
01
—
32G94EA
BLUE CROSS BLUE SHIELD
—
01
—
60868
PREFERRED ONE
—
05
—
656058000
—
MN
01
—
C02994
MEDICARE PTAN
—
01
—
DE8379
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
02/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us