Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Michael Prostrollo, DO

Individual provider Pediatrics Physician · NPI 1558659615

Jason Michael Prostrollo, DO is a Pediatrics Physician in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1835 County Road C W
Roseville, MN 55113-1352
Phone: (763) 785-4300
Fax: (763) 785-7779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 57872 (MN)

Record details

NPI number1558659615
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 11, 2011
Last updated in NPPESSeptember 30, 2014
Mailing address1835 County Road C W, Roseville, MN 55113-1352

Other providers in Roseville