M & K Family and Sports Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

M & K FAMILY AND SPORTS MEDICINE, INC.

Practice address

601 US 224
Glandorf, OH 45848

Phone

(419) 538-7330

Fax

(419) 538-7331

NPI assigned

Sep 27, 2006

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda A Mansfield, M.D.NPI 1629075957

Title

President

Phone

(419) 538-7330

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

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.

• Linda A Mansfield, MD

  • Sports Medicine (Family Medicine) Physician
  • South Bend, IN
  • NPI 1629075957
  NPD (past) Authorized official
• Brendon J Hovest, C.N.P.

  • Family Nurse Practitioner
  • Ottawa, OH
  • NPI 1871589960
  NPD (past)
• Mandy A Klass, M.D.

  • Family Medicine Physician
  • Glandorf, OH
  • NPI 1235135260
  NPD (past)
• Danielle R Westrick, MD

  • Family Medicine Physician
  • Glandorf, OH
  • NPI 1629311311
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1356432926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "458480081",
            "telephone_number": "419-538-7330",
            "fax_number": "419-538-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 US 224",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-538-7330",
            "fax_number": "419-538-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & K FAMILY AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-538-7330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2986729",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DF2023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy A Klass, M.D.
• Zachary A Klausing, D.C.
• Darla E Lammers, D.C.
• Lima Emergency Physicians Inc
• Lima Urology Inc
• Jesselyn Elizabeth Michaud, O.D.
• Anthony A Nigro, DMD
• Orthopaedic Institute of Ohio
• Anvita Rastogi, DMD
• Dale C Stefanek, DDS

• Family Medicine Physician in Glandorf, OH
• Providers in Glandorf, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.