CENTRAL MINNESOTA ANESTHESIA


Address: 22415 State Highway 15, Saint Augusta, MN 56301-9207
Phone: 3204926506

CENTRAL MINNESOTA ANESTHESIA (NPI# 1417315185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417315185
Entity Type Organization
Organization Name CENTRAL MINNESOTA ANESTHESIA
Practice Address 22415 State Highway 15
Saint Augusta
MN 56301-9207
Mailing Address Po Box 7185
Saint Cloud
MN 56302-7185
Practice Telephone 3204926506
Mailing Telephone 3204926506
Enumeration Date 2016-02-09
Last Update Date 2016-02-23
Authorized Official Name WAYNE JANDIK (OWNER)
Authorized Official Telephone 3204926506
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
38209 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN MINNESOTA LICENSE 38209 01

Office Location

Street Address 22415 STATE HIGHWAY 15
City SAINT AUGUSTA
State MN
Zip Code 56301-9207

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NPI Name Taxonomy Address Enumeration
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1124532999 Ashley Aune Lewandowski Chiropractor 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 2017-11-30
1962923680 Inspired By You Home Care, LLC Home Health 2700 1st Street N, Suite 202, St Cloud, MN 56301 2017-07-03
1487189569 Brett Finberg Pharmacy Technician 141 33rd Ave South, Saint Cloud, MN 56301 2017-04-26
1629513221 Robert Schug Pharmacy Technician 141 33rd Ave S, Saint Cloud, MN 56301 2017-01-05
1649726910 Rebecca Hoffman Pllc Specialist 3400 1st Street N, Suite 300, St. Cloud, MN 56301 2016-08-28
1558728600 Language Partners Interpreter 400 1st St S, Suite 600, St. Cloud, MN 56301 2016-01-20
1679981856 Quality Homecare Services Inc Home Health 3450 W Germain St, Ste 206, St Cloud, MN 56301 2014-07-31
1063759546 Grand St Paul Cvs, LLC Durable Medical Equipment & Medical Supplies 2420 Division St, St. Cloud, MN 56301 2013-01-03
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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
1316938038 Gordon Alan Beardwood Anesthesiology 7235 Ohms Ln, Edina, MN 55439-2148 2005-11-02
1801450291 Nura Pa Anesthesiology 2104 Northdale Blvd Nw Ste 220, Minneapolis, MN 55433-3046 2019-05-01
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
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Competitor

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City SAINT AUGUSTA
Zip Code 56301

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Dataset Information

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.

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