FAIRVIEW EXPRESS CARE (NPI# 1386193613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386193613 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW EXPRESS CARE |
| Other Organization Name | FAIRVIEW PAIN MANAGEMENT CENTER |
| Practice Address |
5130 Fairview Blvd Ste 101 Wyoming MN 55092-8050 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 9122735400 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126726594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fairview Pain Management Center | Doing Business As Name - Organization |
| M Health Fairview Pain Clinic - Lakes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
| 1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
| 1679048763 | Fairview Express Care | Specialist | 400 Stinson Blvd, Minneapolis, MN 55413-2614 | 2018-10-04 |
| 1346722675 | Fairview Express Care | General Practice | 400 Stinson Blvd, Minneapolis, MN 55413-2613 | 2018-09-04 |
| Street Address |
5130 FAIRVIEW BLVD STE 101 |
| City | WYOMING |
| State | MN |
| Zip Code | 55092-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1437607488 | Jennifer Lynn Altnow | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092-8050 | 2016-09-20 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1215315668 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 100, Wyoming, MN 55092-8050 | 2015-05-18 |
| 1396087433 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 104, Wyoming, MN 55092 | 2013-03-26 |
| 1598007726 | Fairview Health Services | Prosthetic/Orthotic Supplier | 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1497192066 | Matthew David Torgeson | Surgery | 5200 Fairview Blvd, Wyoming, MN 55092 | 2013-05-22 |
| 1346493723 | Deanna J Nelson | Specialist/Technologist | 5200 Fairview Boulevard, Fairview Sports and Orthopedic Care, Wyoming, MN 55092 | 2008-10-29 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1235611922 | Seven Realms Solutions | Pain Medicine | 4700 Dale Dr, Edina, MN 55424-1149 | 2018-08-30 |
| 1497915896 | Phoenix Center LLC | Pain Medicine | 4418 Excelsior Blvd, Saint Louis Park, MN 55416-4814 | 2008-06-10 |
| 1750316014 | Nura Pa | Pain Medicine | 2104 Northdale Boulevard Nw, Suite 220, Minneapolis, MN 55433 | 2006-07-12 |
| 1942723713 | Katherine Braaten | Pain Medicine | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2017-07-24 |
| 1750810313 | Minnesota Head and Neck Pain Clinic, Pa | Pain Medicine | 2659 Superior Dr Nw, Rochester, MN 55901-8533 | 2017-06-07 |
| 1831540889 | Rylie Medical Pllc | Pain Medicine | 7275 147th St W, Suite 104, Apple Valley, MN 55124-7808 | 2016-06-30 |
| 1538548300 | Jery Inbarasu | Pain Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-26 |
| 1356750822 | Dawn Violette | Pain Medicine | 2450 Riverside Ave, 600, Minneapolis, MN 55454-1450 | 2014-08-08 |
| 1376954883 | Maricela Schnur | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
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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.