Mary K. Hephner, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-00-4815 Issued in OH

Practice address

7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960

Phone

(330) 467-8101

Fax

(330) 468-3948

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1114905320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7689 SAGAMORE HILLS BLVD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672960",
            "telephone_number": "330-467-8101",
            "fax_number": "330-468-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7689 SAGAMORE HILLS BLVD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672960",
            "telephone_number": "330-467-8101",
            "fax_number": "330-468-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPHNER",
        "first_name": "MARY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-4815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0786403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sagamore Hills, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.