Maurice Domonique Masdeu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1536 Shane Cir
Colorado Springs, CO 80907-8607

Phone

(646) 707-7032

NPI assigned

Apr 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1326304866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 SHANE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078607",
            "telephone_number": "646-707-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SHANE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078607",
            "telephone_number": "646-707-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASDEU",
        "first_name": "MAURICE",
        "middle_name": "DOMONIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Maclean, Ma, LPC, P.C.
• Alexei Masanko
• Margaret Grace Masaracchia
• Alexis Mascarenas, DDS
• Isaac Mascarenas, RBT
• Masferrer Neurosurgical, LLC
• Roberto Masferrer, M.D.
• Shelby Masferrer
• Laura Ashley Mash, MSN, APRN, PMHNP-BC
• Stephanie Shae Masini, BCBA

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.