Organization Active NPI

Jason E Mastor MD,PA

  • Psychiatry Physician
  • Mooresville, NC
National Provider Identifier
1205928116
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 30, 2010

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.