FAIRVIEW EXPRESS CARE (NPI# 1457397150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457397150 |
Entity Type | Organization |
Organization Name | FAIRVIEW EXPRESS CARE |
Other Organization Name | M HEALTH FAIRVIEW PAIN CLINIC - MINNEAPOLIS |
Practice Address |
606 24th Ave S Ste 600 Minneapolis MN 55454-5020 |
Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
Practice Telephone | 6122735400 |
Practice Fax Number | 6122739945 |
Mailing Telephone | 6126726724 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-10-26 |
Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
Authorized Official Telephone | 6126726594 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS | 72B50FA | 01 |
MN | MEDICA | 9805117 | 01 |
MN | UCARE | 173032 | 01 |
MN | MHP | 19122 | 01 |
MN | 648467100 | 05 | |
MN | HEALTHPARTNERS | 104855 | 01 |
MN | HEALTHPARTNERS | 112516 | 01 |
MN | PREFERREDONE | 96062 | 01 |
Other Name | Type Code |
---|---|
Fairview Pain Management Center | Doing Business As Name - Organization |
M Health Fairview Pain Clinic - Minneapolis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
1679048763 | Fairview Express Care | Specialist | 400 Stinson Blvd, Minneapolis, MN 55413-2614 | 2018-10-04 |
1346722675 | Fairview Express Care | General Practice | 400 Stinson Blvd, Minneapolis, MN 55413-2613 | 2018-09-04 |
Street Address |
606 24TH AVE S STE 600 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-5020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033111018 | Gregory M Amer | Family Medicine | 606 24th Ave S, Suite 700, Minneapolis, MN 55454-1455 | 2005-08-10 |
1659978088 | Sean Kenny | Pharmacist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-10-08 |
1962011973 | Galina Alexandra Yakovlev | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-26 |
1316564875 | Lawrence Lam | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-01 |
1285296996 | Ian Jerrod Huxford | Dentist | 606 24th Ave S, Riverside Professional Building Suite 200, Minneapolis, MN 55454 | 2019-07-02 |
1255992244 | Joshua Dale | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2019-06-21 |
1912490988 | Kelly Mary Stedman | Genetic Counselor, MS | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2018-06-13 |
1912433988 | Cody Kendera | Dentist | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-05-11 |
1295275303 | Emily Chang | Student in an Organized Health Care Education/Training Program | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-03-08 |
1598203432 | Fairview Express Care | Family Medicine | 606 24th Ave S, Suite 106, Minneapolis, MN 55454-1455 | 2017-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629311089 | Nura Pa | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2013-04-03 |
1871872200 | Twin City Pain Center | Clinic/Center | 1 W Lake St, Minneapolis, MN 55408-3154 | 2011-08-16 |
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 |
1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55454 |
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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.