Advanced Spine and Pain Clinics of MN, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

ADVANCED SPINE AND PAIN CLINICS OF MN, LLC

Practice address

308 Brighton Ave
Suite D
Buffalo, MN 55313-2303

Phone

(763) 595-1411

Fax

(763) 595-1412

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED SPINE AND PAIN CLINICS OF MINNESOTA, LLCAs reported in NPPES

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

Authorized official

Name

Matthew G Thorson, MDNPI 1942411509

Title

MD/President

Phone

(612) 207-7463

Specialties & licenses 1

Addresses

Part of

Advanced Spine and Pain Clinics of MN LLC

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13018/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Spine and Pain Clinics of Minnesota LLC

  • Pain Medicine Physician
  • Minneapolis, MN
  • NPI 1891055851
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Gerald Thorson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Edina, MN
  • NPI 1942411509
  NPD (past) Authorized official
• Deanna Mae Alama, NP

  • Adult Health Nurse Practitioner
  • Buffalo, MN
  • NPI 1386925600
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1346653052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE",
            "address_2": "SUITE 606",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354552",
            "telephone_number": "612-207-7463",
            "fax_number": "952-831-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BRIGHTON AVE",
            "address_2": "SUITE D",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132303",
            "telephone_number": "763-595-1411",
            "fax_number": "763-595-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN CLINICS OF MN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED SPINE AND PAIN CLINICS OF MINNESOTA, LLC",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "612-207-7463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Howard Adams, ATC
• Adapthealth Minnesota LLC
• Adara Home Health, Inc.
• Adaracare, Inc.
• Adjust to Health Chiropractic, P.a.
• Margaret Alice Affeldt, PT
• Linet Aguta
• Thomas Dean Ahrens, MD
• Leslie Akram, DO
• Deanna Mae Alama, NP

• Non-Pharmacy Dispensing Site in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Non-Pharmacy Dispensing Site in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.