Active NPI
Twin Cities Pain Management, PLLC
- Interventional Pain Medicine Physician
- Edina, MN
National Provider Identifier
1730472218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- TWIN CITIES PAIN MANAGEMENT, PLLC
- Practice address
- 4444 W 76TH St Ste 500
Edina, MN 55435-5177 - Phone
- (952) 831-7246
- NPI assigned
- May 17, 2011
- Last updated
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Constantin Starchook, MD
- Title
- President/Owner
- Phone
- (952) 853-7226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
4444 W 76TH St Ste 500
Edina, MN 55435-5177
Mailing address
4444 W 76TH St Ste 500
Edina, MN 55435-5177
Phone (952) 831-7246
National Provider Directory
National Provider DirectoryLocations
4000 W 76th St
Edina, MN 55435
Phone (651) 291-2551
4444 W 76th St
Ste 500
Minneapolis, MN 55435
Phone (952) 831-7246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1730472218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 W 76TH ST STE 500",
"city": "EDINA",
"state": "MN",
"postal_code": "554355177",
"telephone_number": "952-831-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 W 76TH ST STE 500",
"city": "EDINA",
"state": "MN",
"postal_code": "554355177",
"telephone_number": "952-831-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN CITIES PAIN MANAGEMENT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-17",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "STARCHOOK",
"authorized_official_first_name": "CONSTANTIN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "952-853-7226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
- Twin Cities Anesthesia, P.a.
- Twin Cities Behavioral Health, PC
- Twin Cities Cardiology
- Twin Cities Cognitive Behavioral Treatment Center, LLC
- Twin Cities Pain Clinic Transportation, Inc.
- Twin Cities Spine & Sports, LLC
- Twin Cities Surgery Center, PA
- Twincities Therapy Center Inc
- Jonathan Oliver Twomey, D.D.S.
- Tyler Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.