MEDICARE: CENTER FOR PAIN MANAGEMENT AMBULATORY SURGERY, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1912329871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR PAIN MANAGEMENT AMBULATORY SURGERY, LTD

Provider Business Mailing Address
First Line	:	519 22ND AVE E
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-4652
Country	:	US
Telephone Number	:	320-219-7611
Fax Number	:	320-219-7612

Provider Business Practice Location Address
First Line	:	519 22ND AVE E
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-4652
Country	:	US
Telephone Number	:	320-219-7611
Fax Number	:	320-219-7612

Authorized Official
Title or Position	:	OWNER
Name	:	SAM ELGHOR
Credential	:	MD
Telephone Number	:	320-230-7788

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	02/12/2026

Similar Medicare Providers

1467757476 — NICOLE M WHITING CNP
Practice Location Address:

519 22ND AVE E
ALEXANDRIA, MN
56308-4652

Practice Phone: 320-219-7611
Practice Fax: 320-219-7612

1770850455 — SONJA TORGERSON PHARM.D
Practice Location Address:

515 22ND AVE E
ALEXANDRIA, MN
56308-4652

Practice Phone: 320-759-2640
Practice Fax:

1093135436 — KAREN VANHORN
Practice Location Address:

515 22ND AVE E
ALEXANDRIA, MN
56308-4652

Practice Phone: 320-759-2640
Practice Fax:

1013371053 — DR. KATELYN PARKER-MCGILL M.D., M.P.H.
Practice Location Address:

519 22ND AVE E
ALEXANDRIA, MN
56308-4652

Practice Phone: 320-219-7611
Practice Fax: 320-219-7612

1215296892 — JOLENE ANNA PUNDSACK MS, LPCC,
Practice Location Address:

324 BROADWAY ST STE 206
ALEXANDRIA, MN
56308-1482

Practice Phone: 320-762-1762
Practice Fax: 320-762-0796

1417575572 — JOLENE A PUNDSACK MS LPCC PLLC
Practice Location Address:

324 BROADWAY ST STE 206
ALEXANDRIA, MN
56308-1482

Practice Phone: 320-762-1762
Practice Fax: 320-762-1762

Directions to “CENTER FOR PAIN MANAGEMENT AMBULATORY SURGERY, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.