Martha J Masciopinto, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37447 Issued in MN

Practice address

10010 Kimbro Ave S
Cottage Grove, MN 55016-4151

Phone

(651) 769-0407

Fax

(651) 769-0407

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1215980792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 KIMBRO AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164151",
            "telephone_number": "651-769-0407",
            "fax_number": "651-769-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KIMBRO AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164151",
            "telephone_number": "651-769-0407",
            "fax_number": "651-769-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOPINTO",
        "first_name": "MARTHA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064727600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Leigh Stromme Maddaus, DC
• Stephanie L. Magers, OTR/L
• Mark Joseph Mangine, DPT
• James P Mantzaris, DO
• Lisa M Marshall, MD
• Laura Mathys, MA, LMFT
• Maximal Care Mobilty LLC
• Judith Mbangwana
• Kathleen Margaret McGinn, DDS
• Tamara McGinn

• Family Medicine Physician in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.