CENTRAL MEDICAL CLINIC PLLC (NPI# 1174876643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174876643 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEDICAL CLINIC PLLC |
| Practice Address |
393 Dunlap St N Suite Ll34 Saint Paul MN 55104-4200 |
| Practice Telephone | 6516446002 |
| Mailing Telephone | 6516446002 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | DR. ALFONSO MORALES-UTRILLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6516446002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
37899 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
393 DUNLAP ST N SUITE LL34 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909557 | Minnesota Hand Rehabilitation Inc | Occupational Therapist | 393 Dunlap St N, Suite 736, Saint Paul, MN 55104-4200 | 2005-08-12 |
| 1487003760 | Idil Ahmed Mohamed | Home Health | 393 Dunlap St N, Ste 400m, Saint Paul, MN 55104-4200 | 2016-06-08 |
| 1114373511 | Sana Home Health Services | Home Health | 393 Dunlap St N, Suite Ll38, Saint Paul, MN 55104-4200 | 2016-05-04 |
| 1730552670 | Soma Transportation Co | Non-emergency Medical Transport (VAN) | 393 Dunlap St N, Ste 450, Saint Paul, MN 55104-4200 | 2015-10-31 |
| 1740652767 | All Nation Transportation Service LLC | Non-emergency Medical Transport (VAN) | 393 Dunlap St N, # 400k, Saint Paul, MN 55104-4200 | 2015-10-29 |
| 1033581087 | Hopewell Audiology, LLC | Clinic/Center | 393 Dunlap St N, Suite 115, Saint Paul, MN 55104-4200 | 2015-10-28 |
| 1518337294 | Rebecca Ann Younk | Audiologist | 393 Dunlap St N, Suite 115, Saint Paul, MN 55104-4200 | 2015-10-06 |
| 1801272323 | Tamiko Ralston | Counselor | 393 Dunlap St N, 400h, Saint Paul, MN 55104-4200 | 2015-08-06 |
| 1154715340 | Mn Chiropractic & Acupuncture, Pa | Chiropractor | 393 Dunlap St N, Suite 725, Saint Paul, MN 55104-4200 | 2015-03-25 |
| 1053704635 | Central Medical Clinic, Pllc. | Physician Assistant | 393 Dunlap St N, Ll34, Saint Paul, MN 55104-4200 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1235611922 | Seven Realms Solutions | Pain Medicine | 4700 Dale Dr, Edina, MN 55424-1149 | 2018-08-30 |
| 1497915896 | Phoenix Center LLC | Pain Medicine | 4418 Excelsior Blvd, Saint Louis Park, MN 55416-4814 | 2008-06-10 |
| 1750316014 | Nura Pa | Pain Medicine | 2104 Northdale Boulevard Nw, Suite 220, Minneapolis, MN 55433 | 2006-07-12 |
| 1942723713 | Katherine Braaten | Pain Medicine | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2017-07-24 |
| 1750810313 | Minnesota Head and Neck Pain Clinic, Pa | Pain Medicine | 2659 Superior Dr Nw, Rochester, MN 55901-8533 | 2017-06-07 |
| 1386193613 | Fairview Express Care | Pain Medicine | 5130 Fairview Blvd, Ste 101, Wyoming, MN 55092-8050 | 2016-09-28 |
| 1831540889 | Rylie Medical Pllc | Pain Medicine | 7275 147th St W, Suite 104, Apple Valley, MN 55124-7808 | 2016-06-30 |
| 1538548300 | Jery Inbarasu | Pain Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-26 |
| 1356750822 | Dawn Violette | Pain Medicine | 2450 Riverside Ave, 600, Minneapolis, MN 55454-1450 | 2014-08-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.