NPIMap

Organization Active NPI

Minnesota Interventional Pain Associates

  • Pain Clinic/Center
  • Blaine, MN
National Provider Identifier
1225237571
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
49158 Issued in MN
Legal business name
MINNESOTA INTERVENTIONAL PAIN ASSOCIATES
Practice address
11855 Ulysses St NE
Suite 240
Blaine, MN 55434-3947
Phone
(651) 430-3800
Fax
(651) 430-3827
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. Mark Andrew Janiga, M.D.
Title
Owner
Phone
(763) 390-1279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 49158 MN Primary

Addresses

Primary practice location

11855 Ulysses St NE
Suite 240
Blaine, MN 55434-3947

Mailing address

12203 Aberdeen St NE Ste 100
Blaine, MN 55449-5175
Phone (763) 390-1279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1225237571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495175",
            "telephone_number": "763-390-1279",
            "fax_number": "763-390-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE",
            "address_2": "SUITE 240",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343947",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA INTERVENTIONAL PAIN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "JANIGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-390-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MN",
            "license": "49158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.