MR. MATTHEW STEVEN MASSMANN (NPI# 1215292750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215292750 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW STEVEN MASSMANN |
| Credential | PA-C |
| Practice Address |
323 S Minnesota St Crookston MN 56716 |
| Mailing Address |
1027 Washington Ave Detroit Lakes MN 56501-3409 |
| Practice Telephone | 2182819200 |
| Practice Fax Number | 2182819595 |
| Mailing Telephone | 2188475611 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11138 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
323 S MINNESOTA ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492716 | Lance Michael Norman | Occupational Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-01-25 |
| 1538786207 | Forrest Laporte | Nurse Practitioner | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-06-29 |
| 1003437369 | Samantha Brentrup | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-04-28 |
| 1275091282 | Kelsey Billing | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2019-03-08 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1417430588 | Monica Annette Wells | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-13 |
| 1043799612 | Braydon Gourneau | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-14 |
| 1952880668 | Shelby Knott | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-13 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1194204610 | Rhonda June Salentiny | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| 1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811932551 | Carrie Beth Clauson | Physician Assistant | 400 S. Minnesota Street, Crookston, MN 56716-1808 | 2006-06-17 |
| 1578041653 | Breanna J. Privratsky | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2018-08-01 |
| 1558746081 | Emily Ann Andrews | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2015-07-27 |
| 1407948839 | K Elisabeth Ring | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-09-30 |
| 1598857922 | Deborah L Myrfield | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MATTHEW STEVEN MASSMANN.
| 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.