Organization Active NPI

Mark S Vosler

  • Family Medicine Physician
  • Eaton, OH
National Provider Identifier
1417150400
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002967 Issued in OH
Legal business name
MARK S VOSLER
Practice address
450B Washington Jackson Rd
Ste 108
Eaton, OH 45320-7601
Phone
(937) 456-8332
Fax
(937) 456-8335
NPI assigned
Jun 7, 2007
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Dr. Mark Steven Vosler, D.O.NPI 1689789869
Title
Sole Owner
Phone
(937) 456-8334

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 Physician 207Q00000X 34002967 OH Primary

Addresses

Primary practice location

450B Washington Jackson Rd
Ste 108
Eaton, OH 45320-7601

Mailing address

345 Kayler Rd
Eaton, OH 45320-9267
Phone (937) 456-6773

Other identifiers 9

IdentifierTypeStateIssuer
02120397OtherOHUNITED HEALTHCARE
9370331OtherMEDICARE PTAN
0427881MedicaidOH
QMP000003334203OtherOHMOLINA
000000177148OtherOHANTHEM BLUE CROSS BLUE SH
066635OtherOHAETNA
2874242MedicaidOH
301529179OtherOHMEDICAL MUTUAL
791126460OtherOHRAILROAD PALMETTO GBA

National Provider Directory

National Provider Directory

Locations

450B Washington Jackson Rd
Ste 103
Eaton, OH 45320
Phone (937) 456-8332

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1417150400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KAYLER RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209267",
            "telephone_number": "937-456-6773",
            "fax_number": "937-456-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "STE 108",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207601",
            "telephone_number": "937-456-8332",
            "fax_number": "937-456-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S VOSLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "VOSLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "937-456-8334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "02120397",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9370331",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427881",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMP000003334203",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000177148",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "066635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "301529179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PALMETTO GBA",
            "identifier": "791126460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.