Active NPI
Jeremy James Mashburn, D.O.
- Family Medicine Physician
- Warren, OH
National Provider Identifier
1285945311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.011238
- Practice address
- 1552 North Rd SE
Warren, OH 44484-2900 - Phone
- (877) 469-7476
- Fax
- (330) 752-2250
- NPI assigned
- Jun 23, 2010
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS022110 | PA | |
| Family Medicine Physician | 207Q00000X | 34.011238 | OH | Primary |
Addresses
Primary practice location
1552 North Rd SE
Warren, OH 44484-2900
Mailing address
1552 North Rd SE
Warren, OH 44484-2900
Phone (877) 469-7476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34.011238 | Other | OH | OHIO MEDICAL LICENSE |
| PENDING | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2395 Garden Way
Hermitage, PA 16148-5209
Phone (724) 983-3911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS022110 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenor Health Foundation Sharon, LLC | Current | Accepting new patients | |
| Tenor Health Foundation Sharon, LLC | Current | Accepting new patients | |
| Beacon Christian Community Health Center, Inc. | Family Medicine | Past | Accepting new patients |
| Tenor Health Foundation Sharon, LLC | Past | Accepting new patients |
Locations
2375 Garden Way
Hermitage, PA 16148
Phone (724) 983-5454
2395 Garden Way
Sharon, PA 16148
Phone (724) 342-5890
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
Interoperability endpoints
- jeremy.mashburn.1@33638.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sharon Regional Medical Center
- Psychiatric Hospital Unit
- Sharon, PA
- NPI 1659182269
-
- Internal Medicine Physician
- Sharon, PA
- NPI 1669268728
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1639246358
Family Medicine
-
dba Sharon Family Medicine Center
- Rural Health Clinic/Center
- Mercer, PA
- NPI 1760296859
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sharon, PA
- NPI 1235940909
-
dba Sharon Regional Medical Center
- Psychiatric Hospital Unit
- Sharon, PA
- NPI 1659182269
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1285945311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 NORTH RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444842900",
"telephone_number": "877-469-7476",
"fax_number": "330-752-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 NORTH RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444842900",
"telephone_number": "877-469-7476",
"fax_number": "330-752-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHBURN",
"first_name": "JEREMY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS022110",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.011238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAL LICENSE",
"identifier": "34.011238",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.