Mark K Yamaguchi PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MARK K YAMAGUCHI PC

Doing business as

Pain Consultants of Minnesota

Practice address

2020 E 28TH St
Suite 100
Minneapolis, MN 55407-1394

Phone

(612) 455-0612

Fax

(612) 455-0610

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Mark Kenji Yamaguchi, MD

Title

President / Owner

Phone

(612) 455-0612

Specialties & licenses 2

Addresses

Other names 1

• Pain Consultants of Minnesota Doing business as

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1255730917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212156",
            "telephone_number": "612-455-0612",
            "fax_number": "612-455-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 28TH ST",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071394",
            "telephone_number": "612-455-0612",
            "fax_number": "612-455-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK K YAMAGUCHI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "YAMAGUCHI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENJI",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "612-455-0612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Consultants of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saugar Maripuri, MD, MPH
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• Susanna M Marjanovich, CNP
• Mark Charles Wallace, DDS, PC
• Kristen Mark, PHD, MPH
• Melissa C. Mark, M.D.
• Madeline Miles Marker
• Stephen Marker
• Market Street Dermatology, PC

• Pain Medicine (Anesthesiology) Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pain Medicine (Anesthesiology) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.