Jane F Marystone, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

37660 Issued in MN

Practice address

342 13TH Ave NE
Minneapolis, MN 55413-1265

Phone

(612) 362-4111

Fax

(612) 362-4115

NPI assigned

Jun 3, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1700824695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131265",
            "telephone_number": "612-362-4111",
            "fax_number": "612-362-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131265",
            "telephone_number": "612-362-4111",
            "fax_number": "612-362-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYSTONE",
        "first_name": "JANE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MN",
            "license": "37660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preventive Medicine/Occupational Environmental Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.