NPIMap

Organization Active NPI

Melissa Becker, LLC

  • Family Medicine Physician
  • Mansfield, OH
National Provider Identifier
1114954617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35079962B Issued in OH
Legal business name
MELISSA BECKER, LLC
Practice address
661 Park Ave E
Mansfield, OH 44905-2880
Phone
(419) 522-0948
Fax
(419) 526-7347
NPI assigned
Jun 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melissa Becker, M.D.NPI 1174514087
Title
Medical Doctor
Phone
(419) 522-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35079962B OH Primary

Addresses

Primary practice location

661 Park Ave E
Mansfield, OH 44905-2880

Mailing address

661 Park Ave E
Mansfield, OH 44905-2880
Phone (419) 522-0948

Other identifiers 1

IdentifierTypeStateIssuer
2283461MedicaidOH

National Provider Directory

National Provider Directory

Locations

661 Park Ave E
Mansfield, OH 44905
Phone (419) 522-0948

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114954617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052880",
            "telephone_number": "419-522-0948",
            "fax_number": "419-526-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052880",
            "telephone_number": "419-522-0948",
            "fax_number": "419-526-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BECKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "419-522-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079962B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • 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.