Organization Active NPI

Mann Family Care LTD

  • Family Medicine Physician
  • Jackson Center, OH
National Provider Identifier
1225182256
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069861 Issued in OH
Legal business name
MANN FAMILY CARE LTD
Practice address
805 East Pike Street
Jackson Center, OH 45334-0626
Phone
(937) 596-0456
Fax
(937) 596-0462
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Cheryl Mann, MD
Title
Owner
Phone
(937) 596-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35069861 OH Primary

Addresses

Primary practice location

805 East Pike Street
Jackson Center, OH 45334-0626

Mailing address

805 East Pike Street
Jackson Center, OH 45334-0626
Phone (937) 596-0456

Other identifiers 3

IdentifierTypeStateIssuer
2020306MedicaidOH
0005170529OtherOHAETNA
000000233110OtherOHANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1225182256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EAST PIKE STREET",
            "city": "JACKSON CENTER",
            "state": "OH",
            "postal_code": "453340626",
            "telephone_number": "937-596-0456",
            "fax_number": "937-596-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAST PIKE STREET",
            "city": "JACKSON CENTER",
            "state": "OH",
            "postal_code": "453340626",
            "telephone_number": "937-596-0456",
            "fax_number": "937-596-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN FAMILY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-596-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020306",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005170529",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000233110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.