OrganizationActive
Fairview Express Care
NPI 1386193613 · Pain Medicine Physician · Wyoming, MN
Provider details
- NPI number
- 1386193613
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maureen Ring, Sys Dir Govt Reimb & Netwk Rel(612) 672-6740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5200 Fairview Blvd Ste F
Wyoming, MN 55092-8013
Phone: (612) 273-5400
Street-level locationGet directions
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Other names (DBA / former)
- Doing business as
- Fairview Pain Management Center
- Doing business as
- M Health Fairview Pain Clinic - Lakes
Additional practice locations (1)
- 5130 Fairview BlvdSte 101Wyoming, MN 55092-8050Phone: (912) 273-5400
Registry dates
- Enumerated
- 2016-09-28
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.