CENTRAL MEDICAL WELLNESS INC (NPI# 1376166496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376166496 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEDICAL WELLNESS INC |
| Practice Address |
821 Raymond Ave Ste 230 Saint Paul MN 55114-1503 |
| Mailing Address |
7595 Currell Blvd Unit 25404 Woodbury MN 55125-2569 |
| Practice Telephone | 6517464412 |
| Practice Fax Number | 6516471647 |
| Mailing Telephone | 6517464412 |
| Mailing Fax Number | 6516471647 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | DR. ALFONSO MORALES-UTRILLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6127305196 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 821 Raymond Ave Ste 230, Saint Paul, MN 551141503 | 6517464412 | 6516471647 |
| Street Address |
821 RAYMOND AVE STE 230 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1336740364 | Central Medical Wellness & Regeneration | Family Medicine | 821 Raymond Ave Ste 230, Saint Paul, MN 55114-1503 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| 1710263710 | University Adult Day Care Center Inc | Clinic/Center | 2434 University Ave W, Saint Paul, MN 55114 | 2011-10-23 |
| Find all providers in zip 55114 | ||||
| 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 |
|---|---|---|---|---|
| 1174876643 | Central Medical Clinic Pllc | Pain Medicine | 393 Dunlap St N, Suite Ll34, Saint Paul, MN 55104-4200 | 2012-10-22 |
| 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 | 55114 |
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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.