Organization Active NPI

Patrick Furness, LLC

  • Family Medicine Physician
  • Mansfield, OH
National Provider Identifier
1174550685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077045F Issued in OH
Legal business name
PATRICK FURNESS, LLC
Practice address
661 Park Ave E
Mansfield, OH 44905-2880
Phone
(419) 522-0948
Fax
(419) 526-7347
NPI assigned
Jun 28, 2006
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
Patrick Furness, M.D.NPI 1215927314
Title
Medical Doctor
Phone
(419) 522-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35077045F 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
2310029MedicaidOH

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.

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": "1174550685",
    "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": "PATRICK FURNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FURNESS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "419-522-0948",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077045F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310029",
            "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.