LAUREN H MASSOPUST (NPI# 1598125064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598125064 |
| Entity Type | Individual |
| Full Name | LAUREN H MASSOPUST |
| Credential | PA-C |
| Practice Address |
1835 County Road C W 150 Roseville MN 55113-1352 |
| Practice Telephone | 7637836200 |
| Mailing Telephone | 7637836200 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1835 COUNTY ROAD C W 150 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588630925 | Derek Allen Moline | Optometrist | 1835 County Road C W, Suite 140, Roseville, MN 55113-1352 | 2006-02-26 |
| 1518493170 | North Memorial Health Care | Clinic/Center | 1835 County Road C W, #150, Roseville, MN 55113-1352 | 2017-05-02 |
| 1366899437 | Chloe Ferrar | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-05-18 |
| 1811356397 | Jeremiah Lynch | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-02-12 |
| 1104201284 | Pdg, Pa | Clinic/Center | 1835 County Road C W, Suite 200, Roseville, MN 55113 | 2015-07-30 |
| 1477950475 | Kelsey L Holmes | Physician Assistant | 1835 County Road C W, 250, Roseville, MN 55113-1352 | 2014-11-20 |
| 1578822599 | Hunter Hendry Piermont | Student in an Organized Health Care Education/Training Program | 1835 County Road C W, Suite 220, Roseville, MN 55113-1352 | 2012-05-11 |
| 1801152814 | Amdahl Hearing, Inc. | Clinic/Center | 1835 County Road C W, Ste. 80, Roseville, MN 55113-1352 | 2012-04-03 |
| 1063782621 | Tareen Dermatology, P.a. | Non-Pharmacy Dispensing Site | 1835 County Road C W, 250, Roseville, MN 55113-1352 | 2012-01-12 |
| 1558659615 | Jason Michael Prostrollo | Pediatrics | 1835 County Road C W, Roseville, MN 55113-1352 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1538781372 | Jacob Adam Novick | Physician Assistant | 1346 Stonebridge Way, Roseville, CA 95661-5457 | 2020-05-14 |
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1689212482 | Meghan Licciardello | Physician Assistant | 300 Harding Blvd Ste 213, Roseville, CA 95678-2474 | 2019-12-12 |
| 1710541016 | Khine Mira Tian | Physician Assistant | 2780 Snelling Ave N Ste 304, Roseville, MN 55113-7125 | 2019-04-23 |
| 1093287161 | Michael Eugeniuscz Froniewski | Physician Assistant | 1544 Eureka Rd Ste 160, Roseville, CA 95661-3092 | 2018-12-29 |
| 1528547106 | Steven Charles Frank | Physician Assistant | 11801 Go for Broke Rd, Roseville, CA 95678-7055 | 2018-08-14 |
| 1710392196 | Linda Ly Luong | Physician Assistant | 781 Pleasant Grove Blvd Ste 170, Roseville, CA 95678 | 2014-06-24 |
| 1487995924 | Judy Garcia Tumber | Physician Assistant | 8727 Wentworth Ct, Roseville, CA 95747-6370 | 2013-03-07 |
| 1598049249 | Ann Barbeiro | Physician Assistant | 8207 Sierra College Blvd Ste 500, Roseville, CA 95661-9407 | 2011-09-29 |
| 1164686937 | Julie Hunn | Physician Assistant | 729 Sunrise Ave Ste 900, Roseville, CA 95661-4525 | 2008-07-10 |
| Find all providers in ROSEVILLE | ||||
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| 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.