Michael Cloud Fasching, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

27323 Issued in MN

Practice address

2805 Campus Dr
Suite 335
Plymouth, MN 55441-2676

Phone

(763) 577-7500

Fax

(763) 577-7545

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael C. Fasching, M. D. P. a.

  • Plastic Surgery Physician
  • Plymouth, MN
  • NPI 1447567664
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346271988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 TONKAWA RD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553919377",
            "telephone_number": "952-471-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 335",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-577-7500",
            "fax_number": "763-577-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCHING",
        "first_name": "MICHAEL",
        "middle_name": "CLOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "27323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Wellness Chiropractic, PC (Family Wellness Chiropractic)
• Khalil Wadih Simon Farah, M.D.
• Fareed Clinic, PLLC
• Mohammad Tariq Fareed, M.D.
• Ashley Farmer
• Jonathan Andrew Faust, M.D.
• Tayler Feigum
• Female Pelvic Medicine and Reconstructive Surgery
• Reagan Fenstermaker
• Anne Elizabeth Ferguson

• Plastic Surgery Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.