Organization Active NPI

Midwest Med Management, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Roseville, MN
National Provider Identifier
1952731895
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
49158 Issued in MN
Legal business name
MIDWEST MED MANAGEMENT, INC
Practice address
1935 County Road B2 W
Ste 165
Roseville, MN 55113-2729
Phone
(651) 330-4904
Fax
(651) 330-4954
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Ms. Aneta M Bizek
Title
Practice Administrator
Phone
(612) 987-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 49158 MN Primary

Addresses

Primary practice location

1935 County Road B2 W
Ste 165
Roseville, MN 55113-2729

Mailing address

1935 County Road B2 W
Ste 165
Roseville, MN 55113-2729
Phone (651) 330-4904

National Provider Directory

National Provider Directory

Locations

1935 County Road B2 W
Ste 165
Saint Paul, MN 55113
Phone (651) 330-4904

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1952731895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W",
            "address_2": "STE 165",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132729",
            "telephone_number": "651-330-4904",
            "fax_number": "651-330-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W",
            "address_2": "STE 165",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132729",
            "telephone_number": "651-330-4904",
            "fax_number": "651-330-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MED MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "BIZEK",
        "authorized_official_first_name": "ANETA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "612-987-0775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MN",
            "license": "49158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.