Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oluseyi O Fashusi, PA-C

Individual provider Physician Assistant · NPI 1407318553

Oluseyi O Fashusi, PA-C is a Physician Assistant in Woodbury, Minnesota. Qualified in 2019, 7 years ago. Practices with United Family Practice Health Center, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8325 City Centre Dr
Woodbury, MN 55125-3323
Phone: (651) 731-0859
Fax: (651) 731-0976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13225 (MN)

Record details

NPI number1407318553
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice United Family Practice Health Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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