Mark C. Engasser MD PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

22841 Issued in MN

Legal business name

MARK C. ENGASSER MD PA

Practice address

305 Cedar St
Ste 101
Monticello, MN 55362-8304

Phone

(763) 295-3100

Fax

(952) 920-2561

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Barbara M Sykora

Title

Bookkeeper

Phone

(952) 915-8327

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1275719320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "STE 605",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351807",
            "telephone_number": "952-920-4333",
            "fax_number": "952-920-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CEDAR ST",
            "address_2": "STE 101",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628304",
            "telephone_number": "763-295-3100",
            "fax_number": "952-920-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. ENGASSER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "SYKORA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "952-915-8327"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "22841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2792972",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Monticello, MN
• Providers in Monticello, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.