PAIN CENTERS OF MINNESOTA - CHASKA, LLC (NPI# 1003272980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003272980 |
| Entity Type | Organization |
| Organization Name | PAIN CENTERS OF MINNESOTA - CHASKA, LLC |
| Practice Address |
3000 Hundertmark Rd Suite 200 Chaska MN 55318-1150 |
| Mailing Address |
9645 Grove Cir N Ste 200 Maple Grove MN 55369-2684 |
| Practice Telephone | 7632018191 |
| Practice Fax Number | 7632018192 |
| Mailing Telephone | 7632018191 |
| Mailing Fax Number | 7632018192 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | JASON WOLFF (OWNER) |
| Authorized Official Telephone | 3204927039 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO SURGICAL CENTERS HOLDCO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023671922 | Pain Centers of Minnesota - Chaska, LLC | Durable Medical Equipment & Medical Supplies | 3000 Hundertmark Rd Ste 200, Chaska, MN 55318-1152 | 2019-04-16 |
| Street Address |
3000 HUNDERTMARK RD SUITE 200 |
| 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 |
| 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 |
| 1952467250 | David D Nerothin | Anesthesiology | 3000 Hundertmark Rd, Suite 3, Chaska, MN 55318-1150 | 2006-12-29 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1275142804 | Atlas Surgery Center, LLC | Clinic/Center | 3000 Hundertmark Rd Ste 200, Chaska, MN 55318-1152 | 2020-07-29 |
| 1083902423 | Chaska Plaza Surgery Center, LLC | Clinic/Center | 111 Hundertmark Rd, Suite 340, Chaska, MN 55318-4551 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079992 | Woodbury Surgery Center, LLC | Clinic/Center | 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 | 2020-10-09 |
| 1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1942760285 | Altru Health System Ambulatory Surgery Centers LLC | Clinic/Center | 400 S Minnesota St Ste B, Crookston, MN 56716-1808 | 2019-03-22 |
| 1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
| 1891297925 | Pediatric Center Holdings, LLC | Clinic/Center | 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 | 2018-03-05 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
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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.