Center for Pain Medicine Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTER FOR PAIN MEDICINE SURGERY CENTER LLC

Practice address

2401 41St St S Ste 102
Fargo, ND 58104-7783

Phone

(701) 551-6980

Fax

(701) 551-6984

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Majid Ghazi, MD

Title

President

Phone

(701) 551-6980

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Listed as

Center for Pain MedicineCCN 35C0001026

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1578918124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 41ST ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047783",
            "telephone_number": "701-551-6980",
            "fax_number": "701-551-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 41ST ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047783",
            "telephone_number": "701-551-6980",
            "fax_number": "701-551-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN MEDICINE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-551-6980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ND",
            "license": "9776",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Paige Caza
• Olivia Dawn Cease, RN
• Kristilynn Cedars, PHD
• Emma Christine Celano
• Center for Behavioral Change
• Center for Pain Medicine, P.a.
• Center for Plastic Surgery
• Center for Sleep LLC
• Centerstone Counseling
• Central Plains Medical Transport LLC

• Ambulatory Surgical Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Ambulatory Surgical Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.