Mark Charles Engasser, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

22841 Issued in MN

Practice address

6600 France Ave S
Suite 615
Edina, MN 55435-1807

Phone

(952) 920-4333

Fax

(952) 920-6338

NPI assigned

Apr 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Frank Y Wei MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Edina, MN
  • NPI 1245360155
  NPD (past)
• Mark C. Engasser, M.D.P.a.

  • Durable Medical Equipment & Medical Supplies
  • Minnetonka, MN
  • NPI 1639354541
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1417911884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 615",
            "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": "6600 FRANCE AVE S",
            "address_2": "SUITE 615",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351807",
            "telephone_number": "952-920-4333",
            "fax_number": "952-920-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGASSER",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MN",
            "license": "22841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856500700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas A. Empson, DPT
• Carlos E. Encarnacion, M.D.
• Endocrinology Clinic of Minneapolis PA
• Endodontic Specialists PA
• Sailaja Enduri, MD
• William M Engasser, M.D.
• Michelle Engberg, DPT
• Kacia L Engel, M.D.
• Elizabeth Jane Engelhardt, M.D.
• James A Engels, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Edina, MN
• Providers in Edina, MN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.