CENTER FOR PAIN MANAGEMENT, P.A. (NPI# 1215977079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977079 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PAIN MANAGEMENT, P.A. |
| Practice Address |
166 19th Street South Suite 101 Sartell MN 56377 |
| Practice Telephone | 3202307788 |
| Practice Fax Number | 3202307789 |
| Mailing Telephone | 3202307788 |
| Mailing Fax Number | 3202307789 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. SAMIR M ELGHOR (OWNER) |
| Authorized Official Telephone | 3202307788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
166 19TH STREET SOUTH SUITE 101 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684639 | John Gregory Dalle | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2005-07-21 |
| 1598085268 | Britton Joseph Carter | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2010-06-04 |
| 1457514341 | Mats Lars Liden | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2008-07-09 |
| 1750544862 | Laura A Freeman | Radiology | 166 19th Street South, Sartell, MN 56377-2154 | 2008-07-08 |
| 1093924375 | Derik T. Weldon | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2007-05-22 |
| 1790879575 | Ramon R. De Guzman | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2006-10-03 |
| 1740206416 | Hayley I Sheldon | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2006-07-14 |
| 1235167065 | Medical Scanning Consultants Pa | Radiology | 166 19th Street South, Suite 100, Sartell, MN 56377 | 2006-06-29 |
| 1245273390 | Thomas G Cohn | Pain Medicine | 166 19th Street South, Suite 100, Sartell, MN 56377-2154 | 2006-06-14 |
| 1295788339 | Central Minnesota Center for Diagnostic Imaging LLC | Radiology | 166 19th Street South, Ste 100, Sartell, MN 56377 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518656 | Louis Chester Winskowski Jr. | Specialist | 50 14th Ave E Ste 114, Sartell, MN 56377-4653 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
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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.