MARK K YAMAGUCHI PC (NPI# 1255730917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255730917 |
| Entity Type | Organization |
| Organization Name | MARK K YAMAGUCHI PC |
| Other Organization Name | PAIN CONSULTANTS OF MINNESOTA |
| Practice Address |
2020 E 28th St Suite 100 Minneapolis MN 55407-1394 |
| Mailing Address |
2854 Highway 55 Suite 130 Eagan MN 55121-2156 |
| Practice Telephone | 6124550612 |
| Practice Fax Number | 6124550610 |
| Mailing Telephone | 6124550612 |
| Mailing Fax Number | 6124550610 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | MARK KENJI YAMAGUCHI (PRESIDENT / OWNER) |
| Authorized Official Telephone | 6124550612 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pain Consultants of Minnesota | Doing Business As Name - Organization |
| Street Address |
2020 E 28TH ST SUITE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285085 | Chrystian Reynaldo Pereira | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2005-12-13 |
| 1003427956 | Ehren Greer Emter | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-08-13 |
| 1164041851 | Ann Nagle | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-04-13 |
| 1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
| 1093377756 | David Bunch | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-07-02 |
| 1659937944 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-05-13 |
| 1700345881 | Jacquelyn Cameron | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-03-18 |
| 1316439383 | Sara Massey | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407 | 2018-06-05 |
| 1134616485 | Kristin Schwacha | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2018-04-21 |
| 1720513880 | Elizabeth Ellingwood Rowe | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Suite 104, Minneapolis, MN 55407-1394 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215918685 | Florin M Orza | Anesthesiology | 420 Delaware St S.e. University of Minnesota, Department of Anesthesiology B 525 Mayo Building Mmc294, Minneapolis, MN 55455 | 2005-11-10 |
| 1801450291 | Nura Pa | Anesthesiology | 2104 Northdale Blvd Nw Ste 220, Minneapolis, MN 55433-3046 | 2019-05-01 |
| 1699711143 | University Anesthesia Providers, LLC | Anesthesiology | 2450 Riverside Ave, Minneapolis, MN 55454-1400 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315185 | Central Minnesota Anesthesia | Anesthesiology | 22415 State Highway 15, Saint Augusta, MN 56301-9207 | 2016-02-09 |
| 1386873404 | Ifechi Anyadioha | Anesthesiology | 1400 E. Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2009-07-10 |
| 1396775110 | Integrated Care Clinics, Pa | Anesthesiology | 1260 Highway 25 S, Monticello, MN 55362-8921 | 2006-07-04 |
| 1316989007 | Louis Carl Saeger | Anesthesiology | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2006-06-10 |
| 1548210628 | Angela Haliburda | Anesthesiology | 1260 32nd Ave N, Saint Cloud, MN 56303-1649 | 2006-05-11 |
| 1316938038 | Gordon Alan Beardwood | Anesthesiology | 7235 Ohms Ln, Edina, MN 55439-2148 | 2005-11-02 |
| 1144745951 | Metropolitan Surgical Center, LLC | Anesthesiology | 9645 Grove Cir N Ste 250, Maple Grove, MN 55369-2683 | 2017-08-14 |
| 1275997363 | Morgan Taylor Smith | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-05 |
| 1124431358 | Saeger Pain Care Pllc | Anesthesiology | 1950 Curve Crest Blvd W, Ste 100, Stillwater, MN 55082-5078 | 2014-06-05 |
| 1952731895 | Midwest Med Management, Inc | Anesthesiology | 1935 County Road B2 W, Ste 165, Roseville, MN 55113-2729 | 2013-11-13 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.