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ELIJAH MASON
NPI 1629730072
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since October 12, 2021
3900 BETHEL DR, SAINT PAUL, MN 55112(651) 638-6400 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elijah Mason NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MASON (NPI 1629730072) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1629730072
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH MASON
Location Address3900 BETHEL DRSaint Paul, MN 55112-6902
Mailing Address1330 High Site Dr Apt 218Eagan, MN 55121-2737 · (612) 718-3950
Phone(651) 638-6400
Sole ProprietorNo
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1629730072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3900 BETHEL DR, Saint Paul, MN 55112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA P HUNT
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 638-6400
MISS HANNAH RHIANNON SALISBURY
Physical Medicine & Rehabilitation (Sports Medicine)
3900 BETHEL DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
NOAH FAIRFIELD
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 638-6400
MARIAH ANN STEPHENSON
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 315-3688
LEAH JACKSON
Physical Therapist
3900 BETHEL DR, MSC2376
SAINT PAUL, MN 55112
Ramsey County (651) 638-6215
JENNIFER LEE BOTELHO CNM
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 638-6400
SHAN LIANG DANG DONOVAN
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (320) 232-5030
MAKENA BECHARD
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 635-8074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Mason's NPI number?

The NPI number for Elijah Mason is 1629730072. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Elijah Mason located?

Elijah Mason practices at 3900 Bethel Dr, Saint Paul, MN 55112. The listed phone number is (651) 638-6400.

What is Elijah Mason's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elijah Mason was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.