MICHAEL JOEL MASTOUS (NPI# 1073865465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073865465 |
| Entity Type | Individual |
| Full Name | MICHAEL JOEL MASTOUS |
| Credential | PA-C |
| Practice Address |
8100 W 78th St Edina MN 55439-2516 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9529469777 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2017-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1821 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8100 W 78TH ST |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273927 | Thomas Anthony Kiff | Specialist/Technologist | 8100 W 78th St, 225, Edina, MN 55439-2516 | 2005-11-22 |
| 1326524414 | Angela Esther Koich | Specialist/Technologist | 8100 W 78th St, Edina, MN 55439-2516 | 2018-07-12 |
| 1811351471 | Rachel Spika | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2016-04-11 |
| 1700260379 | Melissa Haupt | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-07-14 |
| 1487037909 | Bryce Mikel | Internal Medicine | 8100 W 78th St, Edina, MN 55439 | 2015-07-01 |
| 1609260413 | Michael Hall | Specialist/Technologist | 8100 W 78th St, Suite #230, Edina, MN 55439-2516 | 2015-03-19 |
| 1740673854 | Kylene Hoeft | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-03-13 |
| 1902297591 | Katie Lynn Sjostrom | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-18 |
| 1073904496 | Sabrina Siple | Physician Assistant | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-06 |
| 1205241825 | Anna Karoline Stephens Lange | Internal Medicine | 8100 W 78th St, Edina, MN 55439-2516 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821423781 | Sarah L Davis | Physician Assistant | 6405 France Ave S Ste 200, Edina, MN 55435 | 2013-09-11 |
| 1811239049 | Britney Dael Foster Busse | Physician Assistant | 3916 W 50th St, Edina, MN 55424-1202 | 2013-03-26 |
| 1073573630 | Alan Richard Harrison Jr. | Physician Assistant | 7373 France Ave S., Suite 300, Edina, MN 55435-4538 | 2006-03-27 |
| 1821094392 | Lisa T Ley | Physician Assistant | 3400 W 66th St, Ste 385, Edina, MN 55435-2197 | 2005-06-21 |
| 1326681800 | Elizabeth Wallis | Physician Assistant | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2019-10-28 |
| 1841759438 | Emma Cyr | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2019-03-14 |
| 1023581337 | Hannah Margaret Brooks | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2019-01-09 |
| 1598267676 | Tucker Boone Johnson | Physician Assistant | 6525 France Ave S Ste 200, Edina, MN 55435-2176 | 2018-03-05 |
| 1134637986 | Kristy Jordan Lichtenberg | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2018-01-15 |
| 1902288905 | Katie Grausam | Physician Assistant | 6401 France Ave S, Edina, MN 55435-2104 | 2015-06-25 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on MICHAEL JOEL MASTOUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.