Individual provider Active NPI

Charles W Mason, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Powell, OH
National Provider Identifier
1427027770
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34002034 Issued in OH
Practice address
8530 Northbluff LN
Powell, OH 43065-8084
Phone
(740) 881-9190
Fax
(614) 451-2291
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34002034 OH Primary

Addresses

Primary practice location

8530 Northbluff LN
Powell, OH 43065-8084

Mailing address

8530 Northbluff LN
Powell, OH 43065-8084
Phone (740) 881-9190

Other identifiers 1

IdentifierTypeStateIssuer
0198610MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmason30552@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000285 OH Practitioner - Family Practice 0244251874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34002034OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Mar 1, 2008 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2008 Accepting new patients
Ohiohealth Corporation Geriatric Medicine Current Accepting new patients
Charles W. Mason, D.O., Geriatric Medicine Geriatric Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297

Dept L3652
Columbus, OH 43260

1299 Olentangy River Rd
Ofc
Columbus, OH 43212
Phone (614) 291-3114

1299 Olentangy River Rd
Columbus, OH 43212
Phone (614) 566-4278

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1427027770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 NORTHBLUFF LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658084",
            "telephone_number": "740-881-9190",
            "fax_number": "614-451-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 NORTHBLUFF LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658084",
            "telephone_number": "740-881-9190",
            "fax_number": "614-451-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-01-05",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34002034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198610",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmason30552@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "800 McConnell Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.