Individual provider · Type 1 NPI

Andrew Massar, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1205506748 Active

Practice location

1900 Wealthy St SE Ste 100
Grand Rapids, MI 49506-2972

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010392 (MI)

Physician Assistant: 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, orde…

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About NPI 1205506748

Andrew Massar, PA-C's National Provider Identifier is 1205506748, issued on Sep 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 27, 2025.