DR. ALFREDO A MASSA SUCCAR (NPI# 1639362361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639362361 |
| Entity Type | Individual |
| Full Name | DR. ALFREDO A MASSA SUCCAR |
| Credential | M.D. |
| Practice Address |
480 Osborne Rd Ne Ste 260 Fridley MN 55432-2866 |
| Mailing Address |
1670 Upham Dr Columbus OH 43210-1250 |
| Practice Telephone | 7632634500 |
| Mailing Telephone | 6142939600 |
| Mailing Fax Number | 6142933820 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
64544 | MN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35131098 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1670 Upham Dr, Columbus, OH 432101250 | (614) 293-9600 | 6142933820 |
| Street Address |
480 OSBORNE RD NE STE 260 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835103 | Joseph P Marnell | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-05 |
| 1710529003 | Amy Stignani | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2019-10-08 |
| 1811350515 | Taylor Atchison | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2016-03-30 |
| 1578965398 | Brian Kovach | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2014-09-24 |
| 1447673918 | Natalie Overmann | Nurse Practitioner | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2014-02-03 |
| 1205071248 | Mary S Forslund | Nurse Practitioner | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2008-12-04 |
| 1750417168 | Brian Alan Palmer | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 | 2007-02-27 |
| 1811061377 | Robin M. Bixler | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-11-17 |
| 1396857975 | Misty Tu | Contractor | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-08-31 |
| 1598700528 | Allina Health System | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942697784 | Iminder Kaur Saran | Psychiatry & Neurology | Allina Health Mental Health - Mercy Hospital Unity Cam, 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2015-04-20 |
| 1801835103 | Joseph P Marnell | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-05 |
| 1740250216 | David Lloyd Sudduth | Psychiatry & Neurology | 480 Osborne Rd Ne Ste And200, Fridley, MN 55432-2773 | 2006-01-25 |
| 1871586578 | Dale A Armstrong | Psychiatry & Neurology | 480 Osborne Road Ste 260, Fridley, MN 55432-2718 | 2005-08-26 |
| 1639521347 | Tarek Kanaa | Psychiatry & Neurology | 7590 Lyric Ln Ne, Fridley, MN 55432-3251 | 2016-07-06 |
| 1811350515 | Taylor Atchison | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2016-03-30 |
| 1689081010 | Yesenia Santana-rosado | Psychiatry & Neurology | 7590 Lyric Ln Ne, Fridley, MN 55432-3251 | 2014-07-17 |
| 1942529136 | Inder Raj Kaur Grewal | Psychiatry & Neurology | 7590 Lyric Ln Ne, Fridley, MN 55432-3251 | 2010-05-27 |
| 1750417168 | Brian Alan Palmer | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 | 2007-02-27 |
| 1811061377 | Robin M. Bixler | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-11-17 |
| Find all providers in FRIDLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.