Active NPI
Midwest Med Management, Inc
- Pain Medicine (Anesthesiology) Physician
- Roseville, MN
National Provider Identifier
1952731895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 49158
- 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, 2013
- 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
- Ms. Aneta M Bizek
- Title
- Practice Administrator
- Phone
- (612) 987-0775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.