Realief Medical, P.a.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

24538 Issued in MN

Legal business name

REALIEF MEDICAL, P.A.

Practice address

1660 Highway 100 S
Suite 229
St Louis Park, MN 55416-1529

Phone

(952) 456-6160

Fax

(952) 835-9830

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Alfred V. Anderson, M.D., D.C.

Title

Owner/Shareholder

Phone

(952) 456-6160

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Realief Medical, P.A. Other name

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen M. Bleninger-Sundar, NP-C

  • Adult Health Nurse Practitioner
  • Saint Louis Park, MN
  • NPI 1609144187
  NPD (past)
• Michael John Bothof, D.C.

  • Chiropractor
  • Prior Lake, MN
  • NPI 1477622132
  NPD (past)
• Carole P Cohen, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Eagan, MN
  • NPI 1730426099
  NPD (past)
• Brittany Freese, DC

  • Chiropractor
  • Woodbury, MN
  • NPI 1710302930
  NPD (past)
• Patricia Murphy, OTRL

  • Occupational Therapist
  • Eagan, MN
  • NPI 1932461522
  NPD (past)
• Tammie Jean Porras, NP

  • Adult Health Nurse Practitioner
  • Robbinsdale, MN
  • NPI 1649201161
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1659464162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 229",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-456-6160",
            "fax_number": "952-835-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 229",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-456-6160",
            "fax_number": "952-835-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIEF MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/SHAREHOLDER",
        "authorized_official_telephone_number": "952-456-6160",
        "authorized_official_credential": "M.D., D.C."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "24538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396838850",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508102500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "C09271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realief Medical, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• RBF LLC
• Christa Joyce Reader, LICSW
• Diane M Reader, RD
• Real Eyes LLC
• Realief Medical P.a.
• Realief Neuropathy Center of Minnesota PA
• Wesley Rebarcak, D.C.
• Norman Hans Rechsteiner, M.D.
• Jodi Reddan, MS, RD, LD
• Ganga Somashekar Reddy, M.D.

• All providers in St Louis Park, MN
• Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.