Active NPI
Pain Centers of Minnesota - Chaska, LLC
- Ambulatory Surgical Clinic/Center
- Chaska, MN
National Provider Identifier
1003272980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PAIN CENTERS OF MINNESOTA - CHASKA, LLC
- Practice address
- 3000 Hundertmark Rd
Suite 200
Chaska, MN 55318-1150 - Phone
- (763) 201-8191
- Fax
- (763) 201-8192
- NPI assigned
- Jan 8, 2016
- Organization subpart
- Yes
- Parent organization
- METRO SURGICAL CENTERS HOLDCO, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Wolff, MD
- Title
- Owner
- Phone
- (320) 492-7039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3000 Hundertmark Rd
Suite 200
Chaska, MN 55318-1150
Mailing address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Phone (763) 201-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161028002140 | MN | Part B Supplier - Ambulatory Surgical Center | 1850679648 |
Receives reassigned benefits from 3 practitioners Practice locations: Chaska, MN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Pain Centers of Minnesota Chaska
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Pain Centers of Minnesota - Chaska
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Chaska, MN
- NPI 1023671922
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1003272980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 GROVE CIR N STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553692684",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HUNDERTMARK RD",
"address_2": "SUITE 200",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181150",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CENTERS OF MINNESOTA - CHASKA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "METRO SURGICAL CENTERS HOLDCO, LLC",
"enumeration_date": "2016-01-08",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-492-7039",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
- Comfort C. Onyiah, MD MPH
- Orthodontic Specialists of Minnesota, P.L.L.C.
- Orthopedic Surgical Consultants, P.a.
- Osr Physical Therapy Limited Partnership
- Thomas Hugh Owen, DDS
- Pain Centers of Minnesota - Chaska, LLC
- Lucian Panait, M.D.
- Marsha C Panthera, RD
- Cooper John Parham
- Emily Faith Parks, CPM, LM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.