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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
38209 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MINNESOTA LICENSE | 38209 | 01 |
Street Address |
22415 STATE HIGHWAY 15 |
City | SAINT AUGUSTA |
State | MN |
Zip Code | 56301-9207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
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 |
Find all providers in zip 56301 |
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 |
---|---|---|---|---|
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 |
Find all providers with the same taxonomy |
City | SAINT AUGUSTA |
Zip Code | 56301 |
Please comment or provide details below to improve the information on CENTRAL MINNESOTA ANESTHESIA.
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.