ANDREW J WILL MD PA (NPI# 1336655521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336655521 |
Entity Type | Organization |
Organization Name | ANDREW J WILL MD PA |
Other Organization Name | TWIN CITIES PAIN CLINIC |
Practice Address |
14551 County Road 11 Ste 100 Burnsville MN 55337-4799 |
Mailing Address |
7235 Ohms Ln Edina MN 55439-2148 |
Practice Telephone | 9528412345 |
Practice Fax Number | 9528412346 |
Mailing Telephone | 9522043503 |
Enumeration Date | 2017-12-26 |
Last Update Date | 2020-01-13 |
Authorized Official Name | ANDREW J. WILL (OWNER) |
Authorized Official Telephone | 9528412345 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
40619 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 369822000 | 05 |
Other Name | Type Code |
---|---|
Twin Cities Pain Clinic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
7235 Ohms Ln, Edina, MN 554392148 | 9522043503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851931349 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 1463 White Oak Dr, Chaska, MN 55318-2525 | 2020-01-13 |
1750797072 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 7270 Forestview Ln N Ste 100, Maple Grove, MN 55369-5555 | 2014-07-08 |
1699199737 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 683 Bielenberg Dr Ste 103, Woodbury, MN 55125-1711 | 2014-02-10 |
1215003066 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 7235 Ohms Ln, Edina, MN 55439-2148 | 2006-11-24 |
Street Address |
14551 COUNTY ROAD 11 STE 100 |
City | BURNSVILLE |
State | MN |
Zip Code | 55337-4799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
Find all providers in zip 55337 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
1902356868 | Metro Mn Pain Center, LLC | Clinic/Center | 3260 County Road 10, Suite G, Brooklyn Center, MN 55429-3076 | 2016-10-04 |
1104286772 | Pain Clinics of Minnesota P.a. | Clinic/Center | 4600 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2016-02-25 |
1144563503 | Nura Pa | Clinic/Center | 9550 Upland Lane N, Suite 120, Maple Grove, MN 55369-4481 | 2013-04-03 |
1780974998 | Light Mountain Healthworks Inc. | Clinic/Center | 502 Hidden Trail Ct Sw, Bemidji, MN 56601-2569 | 2011-04-10 |
1043836406 | Us Pain and Rehabilitation Center, Pa | Clinic/Center | 1997 Sloan Pl Ste 23, Saint Paul, MN 55117-2051 | 2020-06-22 |
1689068462 | Group Health Plan, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433 | 2015-03-19 |
1780090449 | Capitol Pain Management Pllc | Clinic/Center | 651 Arcade St, Saint Paul, MN 55106-4518 | 2014-07-02 |
1003159567 | Nura Pa | Clinic/Center | 7390 France Ave S, Edina, MN 55435-4500 | 2013-04-03 |
1629311089 | Nura Pa | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2013-04-03 |
Find all providers with the same taxonomy |
City | BURNSVILLE |
Zip Code | 55337 |
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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.