Organization Active NPI

Twin Cities Pain Management, PLLC

  • Interventional Pain Medicine Physician
  • Edina, MN
National Provider Identifier
1730472218
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.