DAVID D NEROTHIN (NPI# 1952467250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952467250 |
| Entity Type | Individual |
| Full Name | DAVID D NEROTHIN |
| Credential | MD |
| Practice Address |
3000 Hundertmark Rd Suite 3 Chaska MN 55318-1150 |
| Mailing Address |
4131 W Loomis Rd Ste 300 Greenfield WI 53221-2059 |
| Practice Telephone | 7635376000 |
| Practice Fax Number | 7635376666 |
| Mailing Telephone | 4143257246 |
| Mailing Fax Number | 4143253770 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
36104 | MN | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36104 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Madison Ave Ste 402, Mankato, MN 560015476 | 5076257246 | 5073862599 |
| Street Address |
3000 HUNDERTMARK RD SUITE 3 |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790778090 | James Philip Wire | Surgery | 3000 Hundertmark Rd, Suite 6, Chaska, MN 55318-1150 | 2005-08-23 |
| 1982119707 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2017-12-04 |
| 1417315235 | Medical Advanced Pain Specialists, Pa | Durable Medical Equipment & Medical Supplies | 3000 Hundertmark Rd, Suite 250, Chaska, MN 55318-1150 | 2016-02-08 |
| 1003272980 | Pain Centers of Minnesota - Chaska, LLC | Clinic/Center | 3000 Hundertmark Rd, Suite 200, Chaska, MN 55318-1150 | 2016-01-08 |
| 1740595370 | Marsha C Panthera | Dietitian, Registered | 3000 Hundertmark Rd, Suite 2, Chaska, MN 55318-1150 | 2010-08-06 |
| 1619103777 | Michelle B. Motto | Dietitian, Registered | 3000 Hundertmark Rd, Suite 2, Chaska, MN 55318-1150 | 2009-06-03 |
| 1396866794 | Karen Elizabeth Karn | General Practice | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2007-04-03 |
| 1689725392 | Ridgeview Clinics | Otolaryngology | 3000 Hundertmark Rd, Suite 11, Chaska, MN 55318-1150 | 2007-01-16 |
| 1861561417 | Bonita L Hill | Family Medicine | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-07 |
| 1821177502 | Lorene E Rutherford | Pediatrics | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
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| 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 |
|---|---|---|---|---|
| 1801186614 | Nima M Adimi | Pain Medicine | 111 Hundertmark Rd Ste 440, Chaska, MN 55318-1460 | 2011-04-13 |
| 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.