Minnesota Spine Associates

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

447937400027 Issued in MN

Legal business name

MINNESOTA SPINE ASSOCIATES

Practice address

333 Washington Ave N Ste 300
Minneapolis, MN 55401-1353

Phone

(612) 293-3800

NPI assigned

Jul 25, 2012

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric K. Groteke, DC

Title

Partner

Phone

(727) 474-9729

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1265788459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1453",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022703",
            "telephone_number": "612-293-3800",
            "fax_number": "612-293-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011353",
            "telephone_number": "612-293-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SPINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "GROTEKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-474-9729",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "447937400027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Proper Healthcare Services
• Minnesota Psychoanalytic Collective
• Minnesota Quality Care, Inc.
• Minnesota Radiation Oncology Group PA
• Minnesota Skin Consultants, LLC
• Minnesota Surgery Center, LTD.
• Minnesota Teen Challenge, Inc (Minnesota Adult & Teen Challenge)
• Minnesota Teen Challenge, Inc. (Rockbridge Treatment and Recovery)
• Minnesota Teen Challenge, Inc.
• Minnesota Transitions Charter School

• Interventional Pain Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Interventional Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.