NPIMap

Organization Active NPI

Med Management Indiana PC

  • Psychiatry Physician
  • Garfield Heights, OH
National Provider Identifier
1225519333
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MED MANAGEMENT INDIANA PC
Practice address
5300 Marymount Village Dr
Garfield Heights, OH 44125-2974
Phone
(888) 365-6271
NPI assigned
Aug 27, 2018
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Mark Neese Jr.
Title
Cfo
Phone
(210) 615-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5300 Marymount Village Dr
Garfield Heights, OH 44125-2974

Mailing address

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone (210) 615-3483

Other practice location 1

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone (210) 615-3483

Other identifiers 1

IdentifierTypeStateIssuer
01076161AOtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, OH, KY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20181009002497 IN Part B Supplier - Clinic/Group Practice 5698027266 Receives reassigned benefits from 7 practitioners
Practice locations: Vincennes, IN; Princeton, IN; New Castle, IN; Huntingburg, IN; Evansville, IN; Greencastle, IN
O20190923001268 IL Part B Supplier - Clinic/Group Practice 5698027266 Receives reassigned benefits from 3 practitioners
Practice locations: Des Plaines, IL; Rockford, IL; Peoria, IL; Pekin, IL; Oak Lawn, IL; Joliet, IL; Itasca, IL; Geneseo, IL…
O20241108001027 OH Part B Supplier - Clinic/Group Practice 5698027266 Receives reassigned benefits from 12 practitioners
Practice locations: Garfield Heights, OH
O20241119003669 KY Part B Supplier - Clinic/Group Practice 5698027266 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1601 N Farnsworth Ave
Aurora, IL 60505
Phone (630) 552-7166

4250 N Oak Park Ave
Chicago, IL 60634
Phone (708) 515-4160

14688 Illinois Highway 82
Geneseo, IL 61254
Phone (309) 944-2147

270 Skokie Blvd
Northbrook, IL 60062
Phone (847) 418-3998

3701 Washington Ave
Evansville, IN 47714
Phone (812) 476-3360

6015 Kratzville Rd
Evansville, IN 47710
Phone (812) 425-8182

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1225519333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404803",
            "telephone_number": "210-615-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MARYMOUNT VILLAGE DR",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252974",
            "telephone_number": "888-365-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7272 Wurzbach Rd Ste 601",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782404803",
            "country_code": "US",
            "telephone_number": "210-615-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED MANAGEMENT INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "NEESE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-615-3434",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01076161A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.