MR. JONATHAN RAPHAEL SNITZER (NPI# 1831456953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831456953 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN RAPHAEL SNITZER |
| Credential | MD |
| Practice Address |
10961 Club West Pkwy Blaine MN 55449-5866 |
| Practice Telephone | (612) 273-5400 |
| Mailing Telephone | (612) 273-5400 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
62413 | MN | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
62413 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E 17th Pl, Aurora, CO 800452570 | 3037246031 |
| Street Address |
10961 CLUB WEST PKWY |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447205810 | Mary Bhavsar | Ophthalmology | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2006-05-24 |
| 1437774957 | Brian J Helmrick | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2020-06-10 |
| 1912364134 | Fairview Health Services | Clinic/Center | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2016-01-19 |
| 1528466372 | Carissa Fleek | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2014-12-10 |
| 1740683192 | Ann Studniski | Specialist/Technologist | 10961 Club West Pkwy, Suite 200, Blaine, MN 55449-5866 | 2014-09-30 |
| 1366855629 | Charles Joseph Kopp | Optometrist | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2014-06-04 |
| 1912332271 | Tec LLC | Eyewear Supplier (Equipment, not the service) | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2013-09-05 |
| 1780962381 | Andrea Lewis | Physical Therapist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-07-30 |
| 1114210036 | Joseph Miles Palmquist | Physician Assistant | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-05-25 |
| 1417277294 | Fairview Express Care | Clinic/Center | 10961 Club West Pkwy, Ste 200, Blaine, MN 55449-5866 | 2010-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| 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 |
|---|---|---|---|---|
| 1265788459 | Minnesota Spine Associates | Pain Medicine | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2012-07-25 |
| 1730472218 | Twin Cities Pain Management, Pllc | Pain Medicine | 4444 W 76th St Ste 500, Edina, MN 55435-5177 | 2011-05-17 |
| 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 |
| 1265051627 | Saeger Spine and Pain Clinics Pa | Pain Medicine | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2020-04-15 |
| 1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
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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.