TWIN CITIES PAIN MANAGEMENT, PLLC (NPI# 1730472218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730472218 |
| Entity Type | Organization |
| Organization Name | TWIN CITIES PAIN MANAGEMENT, PLLC |
| Practice Address |
4444 W 76th St Ste 500 Edina MN 55435-5177 |
| Practice Telephone | 9528317246 |
| Mailing Telephone | 9528317246 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. CONSTANTIN STARCHOOK (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9528537226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4444 W 76TH ST STE 500 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051627 | Saeger Spine and Pain Clinics Pa | Pain Medicine | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2020-04-15 |
| 1669481719 | David M Schultz | Pain Medicine | 7400 France Ave S, Suite 100, Edina, MN 55435-4738 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265788459 | Minnesota Spine Associates | Pain Medicine | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2012-07-25 |
| 1528350048 | Lon Lutz,md Pa | Pain Medicine | 548 Foxwood Ln, Mendota Hts, MN 55118-2808 | 2011-05-03 |
| 1659506996 | Andrew Lee Schakel | Pain Medicine | 401 Phalen Blvd-ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2009-05-15 |
| 1477569606 | Thomas Christopher Kowalkowski | Pain Medicine | 2301 Connecticut Avenue South, Sartell, MN 56377-2474 | 2006-07-31 |
| 1275560476 | Lee Michael Espeland | Pain Medicine | 1700 University Ave, St Paul, MN 55104 | 2006-06-26 |
| 1679513923 | Samir M Elghor | Pain Medicine | 166 19th St South, #101, Sartell, MN 56377-2154 | 2006-06-07 |
| 1952352221 | Lon Lutz | Pain Medicine | 7200 Hudson Blvd N, Ste 135, Oakdale, MN 55128-7055 | 2006-05-12 |
| 1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
| 1801186614 | Nima M Adimi | Pain Medicine | 111 Hundertmark Rd Ste 440, Chaska, MN 55318-1460 | 2011-04-13 |
| 1942538905 | Rachel Egyhazi | Pain Medicine | 606 24th Ave S, Suite 600, Minneapolis, MN 55454-5020 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
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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.