Center for Pain Management. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTER FOR PAIN MANAGEMENT. P.A.

Practice address

1900 Centracare Cir
Saint Cloud, MN 56303-5000

Phone

(320) 230-7788

Fax

(320) 230-7789

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samir M Elghor, M.D.

Title

Owner

Phone

(320) 230-7788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1184853830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774654",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN MANAGEMENT. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "ELGHOR",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-230-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.