Prairieview Anesthesia and Pain Management

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PRAIRIEVIEW ANESTHESIA AND PAIN MANAGEMENT

Practice address

717 S State St Ste 100
Fairmont, MN 56031-4470

Phone

(888) 209-0305

Fax

(952) 442-3620

NPI assigned

Apr 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy A Klassen, CRNA

Title

President

Phone

(507) 822-0688

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1073132239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST STE 100",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314470",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIEVIEW ANESTHESIA AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-822-0688",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Marie Petrowiak
• Cody Petrowiak
• Whitney Philipp
• Shae Leann Pierson, RN, PHN
• April E Poolman, FNP-C
• Primary Care Management Services, LLC
• Primary Specialists
• Revadean J Quastad, MSN, NP-C, APNP
• Recovery in Motion, LLC
• Lynn Helm Reeve Sr., DDS

• Certified Registered Nurse Anesthetist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.