Active NPI
Pamela Cain, M.D., LLC
- Internal Medicine Physician
- St Louis Park, MN
National Provider Identifier
1780771931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28042
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132304 | Other | MN | UCARE |
| HP10204 | Other | MN | HEALTH PARTNERS |
| 0407565 | Other | MN | MEDICA |
| 296G3CA | Other | MN | BLUE CROSS OF MN |
National Provider Directory
National Provider DirectoryLocations
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.