NPIMap

Organization Active NPI

Mason Medical LLC

  • General Practice Physician
  • Mason, OH
National Provider Identifier
1043828833
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MASON MEDICAL LLC
Practice address
6213 Snider Rd Ste a
Mason, OH 45040-2793
Phone
(513) 880-8715
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Segraves
Title
President
Phone
(513) 880-8715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6213 Snider Rd Ste a
Mason, OH 45040-2793

Mailing address

6213 Snider Rd Ste a
Mason, OH 45040-2793
Phone (513) 880-8715

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1043828833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SNIDER RD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402793",
            "telephone_number": "513-880-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 SNIDER RD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402793",
            "telephone_number": "513-880-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "SEGRAVES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-880-8715"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.