Organization Active NPI

Pamela Cain, M.D., LLC

  • Internal Medicine Physician
  • St Louis Park, MN
National Provider Identifier
1780771931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28042 Issued in MN
Legal business name
PAMELA CAIN, M.D., LLC
Practice address
6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741
Phone
(952) 938-6699
Fax
(952) 938-1906
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pamela A Cain, M.D.
Title
Owner/Physician
Phone
(952) 938-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 28042 MN Primary

Addresses

Primary practice location

6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741

Mailing address

6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741
Phone (952) 938-6699

Other identifiers 4

IdentifierTypeStateIssuer
132304OtherMNUCARE
HP10204OtherMNHEALTH PARTNERS
0407565OtherMNMEDICA
296G3CAOtherMNBLUE CROSS OF MN

National Provider Directory

National Provider Directory

Locations

2800 Campus Dr
Ste 150
Plymouth, MN 55441

6490 Excelsior Blvd
Ste W106
St Louis Park, MN 55426
Phone (952) 314-4318

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780771931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 EXCELSIOR BLVD STE W106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264741",
            "telephone_number": "952-938-6699",
            "fax_number": "952-938-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 EXCELSIOR BLVD STE W106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264741",
            "telephone_number": "952-938-6699",
            "fax_number": "952-938-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA CAIN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "952-938-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "28042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "132304",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP10204",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0407565",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MN",
            "identifier": "296G3CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.