PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC


Address: 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773
Phone: 7635376000

PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC (NPI# 1194105841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194105841
Entity Type Organization
Organization Name PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
Practice Address 480 Osborne Rd Ne
Suite 260
Fridley
MN 55432-2773
Mailing Address 4131 W Loomis Rd
Suite 300
Greenfield
WI 53221-2057
Practice Telephone 7635376000
Practice Fax Number 7635376666
Mailing Telephone 4143257246
Mailing Fax Number 4143253770
Enumeration Date 2015-06-08
Last Update Date 2015-06-08
Authorized Official Name VISHAL LAL (CEO)
Authorized Official Telephone 4143257246
Is Organization Subpart Y
Parent Organization Name APM MINNESOTA MSO, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 480 OSBORNE RD NE
SUITE 260
City FRIDLEY
State MN
Zip Code 55432-2773

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275528671 Multicare Associates of The Twin Cities,pa Obstetrics & Gynecology 480 Osborne Rd Ne, Suite 100, Fridley, MN 55432-2773 2005-09-13
1063923233 Christina Louise Ann Her Occupational Therapist 480 Osborne Rd Ne, Fridley, MN 55432-2773 2017-10-16
1972039527 North Memorial Health Care Clinic/Center 480 Osborne Rd Ne, #100, Fridley, MN 55432-2773 2017-05-02
1619401270 Betlehem Semahge Family Medicine 480 Osborne Rd Ne, Fridley, MN 55432-2773 2017-04-20
1588035612 Yelena Babashova Physician Assistant 480 Osborne Rd Ne, Fridley, MN 55432-2773 2015-10-15
1285014811 Nura Pa Durable Medical Equipment & Medical Supplies 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 2015-06-09
1003215542 Alison Gardner Physician Assistant 480 Osborne Rd Ne, Fridley, MN 55432-2773 2014-08-20
1629408687 Danielle Elizabeth Nelson Physician Assistant 480 Osborne Rd Ne, Fridley, MN 55432-2773 2013-11-12
1043646029 Patrick David Carlson Physical Therapist 480 Osborne Rd Ne, #280, Fridley, MN 55432-2773 2013-09-23
1750722617 Michael Russell Neutkens Physician Assistant 480 Osborne Rd Ne, Fridley, MN 55432-2773 2013-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336791177 Adelyn Ruth Kopp Occupational Therapist 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 2019-07-11
1831665603 White Smiles Family Dentistry Pllc Dentist 1611 County Hwy 10, Minneapolis, MN 55432 2018-10-19
1518402213 Peaceful Adult Day Center LLC. Home Health 6267 University Ave Ne, Fridley, MN 55432 2017-01-04
1205383742 Farhiya Mahamud Gelle I Durable Medical Equipment & Medical Supplies 6329 5th Street Ne Apt 8, Fridley, MN 55432 2016-09-01
1093163164 Christiane Schwecke Specialist/Technologist 8290 University Ave N, Fridley, MN 55432 2016-05-31
1336551563 Amy White Mountain Massage Therapist 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 2014-05-22
1942629795 Shane O'neil Dermatology 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 2014-04-09
1952648180 John Franklyn Marshall Family Medicine 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 2013-01-08
1558610519 Novacare Outpatient Rehabilitation East Inc Clinic/Center 480 Osborne Road, Number 280, Fridley, MN 55432 2012-09-06
1336423391 Christian Restoration Services Counselor 7157 Commerce Circle W, Fridley, MN 55432 2011-10-07
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548219397 Minnesota Orthopaedic Surgery Center LLC Clinic/Center 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1847 2006-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669079992 Woodbury Surgery Center, LLC Clinic/Center 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 2020-10-09
1902410368 Inspired Spine Surgcenter LLC Clinic/Center 7400 France Ave S Ste 102, Edina, MN 55435-4738 2020-09-03
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1215573209 Hiawatha Surgery Center LLC Clinic/Center 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 2019-11-25
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1942760285 Altru Health System Ambulatory Surgery Centers LLC Clinic/Center 400 S Minnesota St Ste B, Crookston, MN 56716-1808 2019-03-22
1396229746 Avera Marshall Clinic/Center 1521 Carlson St Ste 200, Marshall, MN 56258-2626 2018-09-21
1891297925 Pediatric Center Holdings, LLC Clinic/Center 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 2018-03-05
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1922526961 Blaine Asc, LLC Clinic/Center 11225 Ulysses Street Northeast, Blaine, MN 55434 2017-08-30
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Competitor

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City FRIDLEY
Zip Code 55432

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Dataset Information

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.

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