ALLINA HEALTH SYSTEM (NPI# 1194259978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194259978 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | COURAGE KENNY PAIN CLINIC - MINNEAPOLIS |
| Practice Address |
913 E 26th St Ste 503 Minneapolis MN 55404-4515 |
| Mailing Address |
2925 Chicago Ave Mail Route 10202 Minneapolis MN 55407-1321 |
| Practice Telephone | 6128635100 |
| Practice Fax Number | 6128635109 |
| Mailing Telephone | 6122621166 |
| Mailing Fax Number | 6122624258 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | RICHARD MAGNUSON (CFO) |
| Authorized Official Telephone | 6122621020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Courage Kenny Pain Clinic - Minneapolis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
| Street Address |
913 E 26TH ST STE 503 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900966 | Eric John Decuir | Neurological Surgery | 913 E 26th St, Suite 305 Piper Building, Minneapolis, MN 55404-4515 | 2005-11-25 |
| 1942792064 | Ryan Brutger | Physical Therapist | 913 E 26th St, Ste 401, Minneapolis, MN 55404-4515 | 2018-06-04 |
| 1790212264 | Allina Health System | Clinic/Center | 913 E 26th St, Ste. 402, Minneapolis, MN 55404-4515 | 2017-05-16 |
| 1386023745 | Aimee Lamere | Nurse Practitioner | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2015-05-19 |
| 1629462825 | Daniel Kim | Orthopaedic Surgery | 913 E 26th St, Minneapolis, MN 55404-4515 | 2015-03-25 |
| 1831580901 | Jessica Knuppel | Physician Assistant | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2015-02-11 |
| 1750784013 | Mila Kabakova | Physician Assistant | 913 E 26th St, Suite #600, Minneapolis, MN 55404-4515 | 2014-10-01 |
| 1669871455 | Allina Health System | Internal Medicine | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2014-08-18 |
| 1477960854 | Junia Campos Kimizuka-conniff | Nurse Practitioner | 913 E 26th St, Suite 305 Piper Building, Minneapolis, MN 55404-4515 | 2014-07-17 |
| 1881036143 | Joshua James Hohertz | Physician Assistant | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2013-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866816 | Sipple Medical LLC | Physical Medicine & Rehabilitation | 2020 E 28th St, Suite 100, Minneapolis, MN 55407-1394 | 2015-11-13 |
| 1063842243 | Pain & Injury Center Pllc | Physical Medicine & Rehabilitation | 825 Nicollet Mall, Suite #1453, Minneapolis, MN 55402-2606 | 2013-11-25 |
| 1932427606 | Carlton Ross Kimmerle | Physical Medicine & Rehabilitation | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2010-05-05 |
| 1336103951 | Matthew R Monsein | Physical Medicine & Rehabilitation | 920 E 28th St, Minneapolis Heart Institute, Minneapolis, MN 55407-1139 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774665 | Matthew James Timp | Physical Medicine & Rehabilitation | 2300 24th St Nw Ste 101, Bemidji, MN 56601-6656 | 2011-05-10 |
| 1679863773 | Pain Relief and Wellness of Minnesota | Physical Medicine & Rehabilitation | 4721 Clark Ave, White Bear Lake, MN 55110-3221 | 2011-04-11 |
| 1407174790 | Catherine Y Choi | Physical Medicine & Rehabilitation | 3580 Arcade Ste Ste 100, Vadnais Heights, MN 55127-7135 | 2010-05-11 |
| 1073788519 | Isaac Thomas Marsolek | Physical Medicine & Rehabilitation | 401 Phalen Blved, St Paul, MN 55130-5302 | 2008-04-25 |
| 1457325540 | Adam J Locketz | Physical Medicine & Rehabilitation | 7275 147th St W, Apple Valley, MN 55124-7808 | 2006-02-15 |
| 1548253933 | Advanced Spine Associates Pa | Physical Medicine & Rehabilitation | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2005-08-31 |
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1184044067 | Sakshi Kaul | Physical Medicine & Rehabilitation | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2014-04-18 |
| 1366886566 | Arcade Pain Center, P.l.l.c. | Physical Medicine & Rehabilitation | 651 Arcade St, Saint Paul, MN 55106-4518 | 2013-04-18 |
| 1548604846 | Kerri Wing-hun Chung | Physical Medicine & Rehabilitation | 295 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.