Mashburn Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075832 Issued in OH

Legal business name

MASHBURN FAMILY PRACTICE INC

Practice address

913 State Route 46
Oakmont Plaza
Columbiana, OH 44408-9457

Phone

(330) 482-0400

Fax

(330) 482-0402

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra J Mashburn, BSN RN

Title

Corporate Secretary/ Office Manager

Phone

(330) 482-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093777872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 STATE ROUTE 46",
            "address_2": "OAKMONT PLAZA",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089457",
            "telephone_number": "330-482-0400",
            "fax_number": "330-482-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 STATE ROUTE 46",
            "address_2": "OAKMONT PLAZA",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089457",
            "telephone_number": "330-482-0400",
            "fax_number": "330-482-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHBURN FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE SECRETARY/ OFFICE MANAGER",
        "authorized_official_telephone_number": "330-482-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.