Valley Pain Relief and Wellness Center, PLLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

VALLEY PAIN RELIEF AND WELLNESS CENTER, PLLC

Practice address

2438 E 117TH St
Burnsville, MN 55337-1281

Phone

(612) 444-3000

Fax

(612) 444-9000

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Ashwin Vinod George, MD

Title

Ceo, VP

Phone

(612) 444-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Valley Pain Relief and Wellness Center, PLLC

  • Psychologist
  • Burnsville, MN
  • NPI 1851922819

  7517198211

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Valley Pain Relief and Wellness Center, PLLC

  dba Valley Medical and Wellness

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
  • NPI 1871915470

  O20200501001070

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia M Houska

  • Family Nurse Practitioner
  • Burnsville, MN
  • NPI 1982454336
  NPD (past)

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1982223566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371281",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PAIN RELIEF AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_middle_name": "VINOD",
        "authorized_official_title_or_position": "CEO, VP",
        "authorized_official_telephone_number": "612-444-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felixia Valerius, M.A., LPCC
• Valley Behavioral Health
• Valley Medical Laboratory, LLC
• Valley Pain Relief and Wellness Center, PLLC
• Valley Pain Relief and Wellness Center, PLLC (Valley Medical and Wellness)
• Valley Professional Anesthesia PLLC
• Sandra Van Campen, LPCC
• Grace Lee Vanalst
• Hannah Mae Vanden Branden
• Katherine Therese Vandenplas

• Medical Laboratory Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Medical Laboratory Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.