Keith B Mastin (NPI# 1619942943, PAC ID# 8628265352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1619942943 |
| PAC ID by PECOS | 8628265352 |
| Professional Enrollment ID | I20101207001360 |
| Full Name | Keith B Mastin |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Address |
6845 Lee Ave N Brooklyn Center MN 55429-1717 |
| Phone Number | 7635034400 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1759293954 |
| Number of Group Practice Members | 1273 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 | 7635034400 | GROUP HEALTH PLAN INC |
| 2220 Riverside Ave S, Minneapolis, MN 55454-1321 | GROUP HEALTH PLAN INC |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Physicians | 1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bisrat Fekadu | Family Medicine | Group Health Plan Inc | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 |
| Rachel Elizabeth Kneeland | Internal Medicine | Group Health Plan Inc | 700 Rivard St, Somerset, WI 54025-7382 |
| Laura Anne Chilson | Nurse Practitioner | Group Health Plan Inc | 1430 Hwy 96 E, White Bear Lake, MN 55110-3653 |
| Brian S Myer | General Surgery | Group Health Plan Inc | 640 Jackson St, Saint Paul, MN 55101-2502 |
| Luke Tae Jong Moore | Ophthalmology | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Erin J Schmidt | Family Medicine | Group Health Plan Inc | 700 Wildwood Rd, Mahtomedi, MN 55115-1852 |
| Chad Michael Myeroff | Orthopedic Surgery | Group Health Plan Inc | 435 Phalen Blvd, Saint Paul, MN 55130-5302 |
| Cheryl Settimi | Nurse Practitioner | Group Health Plan Inc | 601 Jacob Ln, Anoka, MN 55303-1621 |
| Jennifer A Novak | Nurse Practitioner | Group Health Plan Inc | 2165 White Bear Ave, Maplewood, MN 55109-2707 |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Street Address |
6845 LEE AVE N |
| City | BROOKLYN CENTER |
| State | MN |
| Zip | 55429-1717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oladepo Fasoranti | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Lois E Cannon | Certified Nurse Midwife (cnm) | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Saima M Ahmer | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Denise M Brown | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Clemence M Sullivan | Internal Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Carola A Jerney | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Temitope Abiola Dawodu | Nurse Practitioner | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Salahudin Maalim | Internal Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Erika L Ruud | Obstetrics/gynecology | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Jerry M Mccormick | Dermatology | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cornelia Dahm | Internal Medicine | 7240 Brooklyn Blvd, Suite 200, Brooklyn Park, MN 55429-1280 | |
| Onaiza Ansar | Psychiatry | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Shawn S Everts | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
| Mercy K Miantona | Nurse Practitioner | Minuteclinic Diagnostic Pa | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 |
| Omolayo O Taiwo | Nurse Practitioner | Minuteclinic Diagnostic Pa | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 |
| Onojeta E Ohwevwo | Nurse Practitioner | 5901 Brooklyn Blvd, Suite 202, Brooklyn Park, MN 55429-2533 | |
| Bruce L Bakke | Clinical Psychologist | 3300 County Rd, Suite 500, Brooklyn Center, MN 55429-3068 | |
| David J Lutz | Chiropractic | Kent J. Erickson, D.c., Chtd | 5740 Brooklyn Blvd, Suite 100, Brooklyn Center, MN 55429-3093 |
| Daniel A Anderson | Chiropractic | Kent J. Erickson, D.c., Chtd | 5740 Brooklyn Blvd, Suite 100, Brooklyn Center, MN 55429-3093 |
| Kara L Talbot | Physical Therapy | Kent J. Erickson, D.c., Chtd | 5740 Brooklyn Blvd, Suite 100, Brooklyn Center, MN 55429-3093 |
| Find all physicians in zip 55429 | |||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BROOKLYN CENTER + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Keith B Mastin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.