Organization Active NPI

Mark C. Engasser, M.D.P.a.

  • Durable Medical Equipment & Medical Supplies
  • Minnetonka, MN
National Provider Identifier
1639354541
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22841 Issued in MN
Legal business name
MARK C. ENGASSER, M.D.P.A.
Practice address
2000 Plymouth Rd
Suite 110
Minnetonka, MN 55305-2366
Phone
(952) 920-4333
Fax
(952) 920-2561
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22841 MN Primary

Addresses

Primary practice location

2000 Plymouth Rd
Suite 110
Minnetonka, MN 55305-2366

Mailing address

6600 France Ave S
Suite 605
Edina, MN 55435-1805
Phone (952) 920-4333

Other identifiers 1

IdentifierTypeStateIssuer
2792972MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1639354541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 605",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "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": "2000 PLYMOUTH RD",
            "address_2": "SUITE 110",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052366",
            "telephone_number": "952-920-4333",
            "fax_number": "952-920-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. ENGASSER, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-11-19",
        "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": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.