Mansfield Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANSFIELD FAMILY PRACTICE

Practice address

248 Blymyer Ave
Mansfield, OH 44903-2306

Phone

(419) 524-2212

Fax

(419) 524-9040

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Raymond John Gardner, M.D.NPI 1932107489

Title

Partner

Phone

(419) 524-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond John Gardner, M.D.

  • Family Medicine Physician
  • Marion, OH
  • NPI 1932107489
  NPD Authorized official
• Gary James Frantz, M.D.

  • Family Medicine Physician
  • Mansfield, OH
  • NPI 1073510855
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104823889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BLYMYER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032306",
            "telephone_number": "419-524-2212",
            "fax_number": "419-524-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BLYMYER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032306",
            "telephone_number": "419-524-2212",
            "fax_number": "419-524-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-524-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansfield Cardiology and Internists, Inc.
• Mansfield Care Center Opco LLC
• Mansfield City Schools
• Mansfield Dermatology Inc
• Mansfield Endodontics, LTD.
• Mansfield Group Home, LTD
• Mansfield Health Care Center, LTD
• Mansfield Imaging Center LLC
• Mansfield Internal Medicine, Inc
• Mansfield Living Center, LTD

• Family Medicine Physician in Mansfield, OH
• Providers in Mansfield, 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 Jul 21, 2022; 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.