Active NPI
Jason E Mastor MD,PA
- Psychiatry Physician
- Mooresville, NC
National Provider Identifier
1205928116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JASON E MASTOR MD,PA
- Practice address
- 206 Joe V Knox Ave
Suite F
Mooresville, NC 28117-7911 - Phone
- (704) 662-6500
- Fax
- (704) 662-6503
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Elia Mastor, M.D.
- Title
- President
- Phone
- (704) 662-6500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
206 Joe V Knox Ave
Suite F
Mooresville, NC 28117-7911
Mailing address
206 Joe V Knox Ave
Suite F
Mooresville, NC 28117-7911
Phone (704) 662-6500
National Provider Directory
National Provider DirectoryLocations
206 Joe Knox Ave
Ste F
Mooresville, NC 28117
Phone (704) 662-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1205928116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 JOE V KNOX AVE",
"address_2": "SUITE F",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177911",
"telephone_number": "704-662-6500",
"fax_number": "704-662-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 JOE V KNOX AVE",
"address_2": "SUITE F",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177911",
"telephone_number": "704-662-6500",
"fax_number": "704-662-6503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON E MASTOR MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "MASTOR",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "ELIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-662-6500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.