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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MARK C LEEFELDT O.A.
NPI 1790764660
Physician Assistant in St Louis Park, MN

Active since January 10, 2006
6490 EXCELSIOR BLVD, STE E400, ST LOUIS PARK, MN 55426(952) 993-3230 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark C Leefeldt O.a. NPPES

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

MR. MARK C LEEFELDT O.A. (NPI 1790764660) is an individual physician assistant in St Louis Park, Minnesota and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1790764660
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARK C LEEFELDTCredential: O.A.
Location Address6490 EXCELSIOR BLVD, STE E400St Louis Park, MN 55426-4705
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728
Phone(952) 993-3230
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790764660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6490 EXCELSIOR BLVD, St Louis Park, MN 55426
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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.

KEITH HARMON MD
Internal Medicine (Pulmonary Disease)
6490 EXCELSIOR BLVD, SUITE W300
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3242
MS. MAGGIE J KOCH O.A.
Physician Assistant
6490 EXCELSIOR BLVD, STE E400
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
TAMARA A JOHNSON PA-C
Physician Assistant
6490 EXCELSIOR BLVD, STE W200
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3180
CARRIE MICHURSKI
Specialist/Technologist, Other (Surgical Technologist)
6490 EXCELSIOR BLVD, SUITE E400
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
JOHN M WORLEY D.O.
Psychiatry & Neurology (Neurology)
6490 EXCELSIOR BLVD, STE E500
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7342
KRISTEN CECILE KADING PHARM.D.
Pharmacist
6490 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5764
MARY VANDERLOOP
Psychologist
6490 EXCELSIOR BLVD, # E315
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6200
AMY E GOLD OT
Occupational Therapist
6490 EXCELSIOR BLVD, SUITE E400 REHAB SERVICES
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-2007

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 Mark Leefeldt's NPI number?

The NPI number for Mark Leefeldt is 1790764660. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Mark Leefeldt located?

Mark Leefeldt practices at 6490 Excelsior Blvd Ste E400, St Louis Park, MN 55426. The listed phone number is (952) 993-3230.

What is Mark Leefeldt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Leefeldt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.