Center for Eosinophilic Esophagitis and Food Allergy

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY

Doing business as

Ceefa

Practice address

1511 Northway Dr Ste 101
Saint Cloud, MN 56303-1262

Phone

(320) 654-8266

Fax

(320) 654-8481

NPI assigned

Feb 6, 2014

Last updated

Jul 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed S Yassin, M.D.NPI 1811923659

Title

Partner

Phone

(320) 654-8266

Specialties & licenses 2

Addresses

Other names 1

• CEEFA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Satti Yassin, M.D.

  • Specialist
  • Saint Cloud, MN
  • NPI 1811923659
  Authorized official Same address or phone

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1932523321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031262",
            "telephone_number": "320-654-8266",
            "fax_number": "320-654-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031262",
            "telephone_number": "320-654-8266",
            "fax_number": "320-654-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "320-654-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEEFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities of the Diocese of St. Cloud
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• Blake Hunter Cedarleaf, PA-C
• Zayda Cedarleaf
• Center for Autism Awareness and Support LLC
• Center for Family Counseling Inc
• Center for Life Transitions
• Center for Pain Management. P.a.
• Centracare Clinic (CentraCare - Coordinated Care Clinic)
• Centracare Clinic (CentraCare - River Campus Clinic)

• Gastroenterology Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Gastroenterology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.