Medical Associates of Mason LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

004427 Issued in OH

Legal business name

MEDICAL ASSOCIATES OF MASON LLC

Practice address

666 Reading Rd
Mason, OH 45040-1575

Phone

(513) 398-0015

Fax

(315) 398-0025

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Gregory W Carpenter, D.O.

Title

Ceo

Phone

(513) 398-0015

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Coleen R McCormick, CNP

  • Family Nurse Practitioner
  • Fairfield, OH
  • NPI 1861565327
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1063423390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401575",
            "telephone_number": "513-398-0015",
            "fax_number": "315-398-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401575",
            "telephone_number": "513-398-0015",
            "fax_number": "315-398-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF MASON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-398-0015",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "004427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "272487264001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL5018",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2431550",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000015629",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4196743",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCV Health Care Facilities, Inc.
• MCV Health Care Facilities, Inc. (Christian Village Hospice)
• Tamara McWhorter
• Malerie Meadows, LPN
• Allison Mecca, PSYD
• Nikki Medina, RBT
• Medpro DME
• Edward J Meier, MD
• Heather Elizabeth Melena, CNP
• Maryem Menad

• Specialist in Mason, OH
• Providers in Mason, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.