INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA NPI 1326398561

NPI Information

  • NPI: 1326398561
  • Provider Name: INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 24D2087504
  • Address: 9645 GROVE CIR N STE 200
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 201-8191

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NPI Details

INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA is a specialist in Maple Grove, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA NPI is 1326398561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9645 GROVE CIR N STE 200
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 201-8191
Fax: (763) 201-8192

The provider's authorized official is Jason S Wolff .
The authorized official title is Partner and has the following contact phone number (320) 253-3243.

The CLIA number assigned to this NPI record is 24D2087504 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 5/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes
2207LP2900XAnesthesiologyPain MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
42083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
5208VP0014XPain MedicineInterventional Pain MedicineNo
6225100000XPhysical TherapistNo
7225X00000XOccupational TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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