Khine Mira Tian (NPI# 1710541016, PAC ID# 4880937143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710541016 |
| PAC ID by PECOS | 4880937143 |
| Professional Enrollment ID | I20190530001015 |
| Full Name | Khine Mira Tian |
| Organization Legal Name | MINNESOTA INSTITUTE FOR PAIN MANAGEMENT, LLC |
| Address |
10532 Hawthorn Trl Woodbury MN 55129-8769 |
| Phone Number | 6514341313 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951584143 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10532 Hawthorn Trl, Woodbury, MN 55129-8769 | 6514341313 | MINNESOTA INSTITUTE FOR PAIN MANAGEMENT, LLC |
| Organization Legal Name | MINNESOTA INSTITUTE FOR PAIN MANAGEMENT, LLC |
| Physicians | 1 |
| Street Address |
10532 HAWTHORN TRL |
| City | WOODBURY |
| State | MN |
| Zip | 55129-8769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Jackson | Optometry | Strategic Practice Management, P.a. | 2070 Eagle Creek Ln, Suite 200, Woodbury, MN 55129-3217 |
| Nathan J Dumm | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Megin S John | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Brett W Petersen | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Taylor B Schiffler | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Trisha D Mellesmoen | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Lisa C Richardson | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Jacob A Wendt | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Karie K Nash | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Lindsay M Ortlip | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Find all physicians in zip 55129 | |||
| City | WOODBURY |
| Zip Code | 55129 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WOODBURY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.