Metro MN Pain Center, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

4713271 Issued in MN

Legal business name

METRO MN PAIN CENTER, LLC

Practice address

3260 County Road 10
Suite G
Brooklyn Center, MN 55429-3076

Phone

(763) 951-2308

Fax

(763) 951-2378

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Sharon Beth Johnson, NP

Title

Owner

Phone

(763) 951-2308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1902356868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 COUNTY ROAD 10",
            "address_2": "SUITE G",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293076",
            "telephone_number": "763-951-2308",
            "fax_number": "763-951-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 COUNTY ROAD 10",
            "address_2": "SUITE G",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293076",
            "telephone_number": "763-951-2308",
            "fax_number": "763-951-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MN PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-951-2308",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MN",
            "license": "4713271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wedu Melkamu
• Acacia Jolene-Clarice Merrill
• Allisen Chloe Merrill, MA, RBT
• Katherine Frances Metcalf, MS, LPCC
• Metro Medical Inc
• Metropolitan Adult Health Services LLP
• Alexander Friedrich Meybaum
• Erin Leigh Meyer Stamp, LICSW
• Alexandra Lynn Meyer
• Brett Meyers

• Pain Clinic/Center in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Pain Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.