INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
NPI 1326398561
Specialist in Maple Grove, MN

NPI Status: Active since September 14, 2012

Contact Information

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

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 24D2055055
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-17-2027

About INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA

This page provides the complete NPI Profile along with additional information for Interventional Spine And Pain Physicians, Pa, a provider established in Maple Grove, Minnesota operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1326398561 assigned on September 2012. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Interventional Spine And Pain Physicians, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jason S Wolff (Partner)

NPI
1326398561
Provider Name
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
Entity Type
Organization
Location Address
9645 GROVE CIR N STE 200 MAPLE GROVE, MN 55369
Location Phone
(763) 201-8191
Location Fax
(763) 201-8192
Mailing Address
9645 GROVE CIR N STE 200 MAPLE GROVE, MN 55369
Mailing Phone
(763) 201-8191
Mailing Fax
(763) 201-8192
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2012
Last Update Date
05-10-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
32083P0500XAllopathic & Osteopathic Physicians

Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine

 
4208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
5225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
6225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON S WOLFF

Authorized Official Title
PARTNER
Authorized Official Phone
(320) 253-3243

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2055055
Facility Type
Physician Office
Certificate Effective Date
April 18, 2025
Certificate Expiration Date
April 17, 2027
Laboratory Director
JASON S. WOLFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Interventional Spine And Pain Physicians, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326398561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 6 + 9 + 1 + 6 + 5 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1326398561.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Practitioner
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant (Medical)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Acute Care)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326398561, enumerated as an "organization" on September 14, 2012.

The provider is located at 9645 GROVE CIR N STE 200 MAPLE GROVE, MN 55369 and the phone number is (763) 201-8191.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.