Mast Shoes Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAST SHOES INC

Practice address

2517 Jackson Ave
Ann Arbor, MI 48103-3818

Phone

(734) 662-8118

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Mast

Title

Owner

Phone

(734) 662-8118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801917125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033818",
            "telephone_number": "734-662-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-662-8118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Massay, MD
• Daniel Masserang, NP
• Cassidy Rae Masserant
• John F Masserant, CRNA
• Mona Massoud
• Jessica M Mast, CRNA
• McLaine Catherine Mast, M.A., CCC-SLP, CBIS
• Jack J Master, PA
• Clare Masternak, PA-C
• Christinna Marie Masters, MSN, NP-C

• Durable Medical Equipment & Medical Supplies in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.