Caroline A Mason, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

31720 Issued in MN

Practice address

1000 Radio Dr
Suite 120
Woodbury, MN 55125-8409

Phone

(651) 735-6100

Fax

(651) 735-6106

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1235166141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CENTRE POINTE DR",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131102",
            "telephone_number": "651-639-9150",
            "fax_number": "651-639-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RADIO DR",
            "address_2": "SUITE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258409",
            "telephone_number": "651-735-6100",
            "fax_number": "651-735-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CAROLINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "31720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324702300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.