MINNESOTA HEAD AND NECK PAIN CLINIC, PA (NPI# 1750810313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750810313 |
| Entity Type | Organization |
| Organization Name | MINNESOTA HEAD AND NECK PAIN CLINIC, PA |
| Practice Address |
2659 Superior Dr Nw Rochester MN 55901-8533 |
| Mailing Address |
3475 Plymouth Blvd Ste 200 Plymouth MN 55447-1539 |
| Practice Telephone | 9528926222 |
| Practice Fax Number | 9528926477 |
| Mailing Telephone | 7635772484 |
| Mailing Fax Number | 6513327490 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | MS. LORI J GARDOW (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 7635772484 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNESOTA HEAD AND NECK PAIN CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003316852 | Minnesota Head and Neck Pain Clinic, Pa | Specialist | 622 Roosevelt Rd, Saint Cloud, MN 56301-6153 | 2018-02-19 |
| 1255715181 | Minnesota Head and Neck Pain Clinic, Pa | Specialist | 675 E Nicollet Blvd, Suite 255, Burnsville, MN 55337-6741 | 2015-07-09 |
| 1871975607 | Minnesota Head and Neck Pain Clinic, Pa | Specialist | 3475 Plymouth Blvd, Suite 200, Plymouth, MN 55447-1499 | 2015-06-29 |
| 1104850155 | Minnesota Head and Neck Pain Clinic, Pa | Specialist | 2550 University Ave W, Ste 189s, St Paul, MN 55114 | 2006-07-10 |
| Street Address |
2659 SUPERIOR DR NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316321177 | Michael Warren Regan Anderson | Dentist | 2659 Superior Dr Nw, Rochester, MN 55901-8533 | 2015-07-11 |
| 1831649961 | Crown Capital Strategies LLC | Hospice Care, Community Based | 2659 Superior Dr Nw, Suite 2, Rochester, MN 55901-8533 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1619931896 | Jaimala Thanik | Pain Medicine | 604 Elmwood Avenue, Box 604, Rochester, NY 14642-0001 | 2006-04-14 |
| 1538548300 | Jery Inbarasu | Pain Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-26 |
| 1881658060 | Jaimala Thanik Md Pllc | Pain Medicine | 990 South Ave, Rochester, NY 14620-2740 | 2006-04-14 |
| 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 |
| 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 |
| 1356750822 | Dawn Violette | Pain Medicine | 2450 Riverside Ave, 600, Minneapolis, MN 55454-1450 | 2014-08-08 |
| 1376954883 | Maricela Schnur | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805 | 2014-05-19 |
| 1710305198 | Gabrielle Rose Meyer | Pain Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2014-04-02 |
| 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.